Active NPI
The Redstick Clinic, LLC
- Family Nurse Practitioner
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- THE REDSTICK CLINIC, LLC
- Practice address
- 4600 Sherwood Common Blvd Ste 403
Baton Rouge, LA 70816-4890 - Phone
- (225) 218-4816
- Fax
- (225) 302-5057
- NPI assigned
- Apr 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rebecca Davis, DNP, APRN
- Title
- Owner
- Phone
- (225) 218-4816
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4600 Sherwood Common Blvd Ste 403
Baton Rouge, LA 70816-4890
Mailing address
4600 Sherwood Common Blvd Ste 403
Baton Rouge, LA 70816-4890
Phone (225) 218-4816
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2303617 | Redstick Clinic, LLC, the | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
4600 Sherwood Common Blvd
Ste 403
Baton Rouge, LA 70816
Phone (225) 218-4816
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1831507078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748995200000",
"number": "1699529362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 SHERWOOD COMMON BLVD STE 403",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164890",
"telephone_number": "225-218-4816",
"fax_number": "225-302-5057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 SHERWOOD COMMON BLVD STE 403",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708164890",
"telephone_number": "225-218-4816",
"fax_number": "225-302-5057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE REDSTICK CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-17",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-218-4816",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, APRN"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"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 Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.