Organization Active NPI

Millennial Advanced Practice Consultants

  • Primary Care Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1689444937
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MILLENNIAL ADVANCED PRACTICE CONSULTANTS
Practice address
6534 Blue Rose Dr
Baton Rouge, LA 70817-4117
Phone
(225) 244-0508
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dwone Marshall
Title
Owner
Phone
(225) 244-0508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

6534 Blue Rose Dr
Baton Rouge, LA 70817-4117

Mailing address

6534 Blue Rose Dr
Baton Rouge, LA 70817-4117
Phone (225) 244-0508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250724004358 LA Part B Supplier - Clinic/Group Practice 6608383690 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1689444937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6534 BLUE ROSE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708174117",
            "telephone_number": "225-244-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6534 BLUE ROSE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708174117",
            "telephone_number": "225-244-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIAL ADVANCED PRACTICE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "DWONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-244-0508"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.