Individual provider Active NPI

Michelle Donaldson, FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1720333966
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
208336 Issued in LA
Practice address
353 N 12TH St
Baton Rouge, LA 70802-4612
Phone
(225) 242-4860
Fax
(225) 342-5193
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN106419 LA
Family Nurse Practitioner 363LF0000X 208336 LA Primary

Addresses

Primary practice location

353 N 12TH St
Baton Rouge, LA 70802-4612

Mailing address

353 N 12TH St
Baton Rouge, LA 70802-4612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210420000203 LA Practitioner - Nurse Practitioner 6204244940 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN106419LAMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Primary Care Collaborative, Inc. Current Accepting new patients
Baton Rouge Primary Care Collaborative, Inc. CurrentSince Jan 12, 2021 Accepting new patients
MG Wellness and Education, LLC Family Current Accepting new patients

Locations

2013 Central Rd
Ste B
Baton Rouge, LA 70807
Phone (225) 774-1120

7050 Plank Rd
Baton Rouge, LA 70811
Phone (225) 774-1120

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1720333966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 N 12TH ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708024612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N 12TH ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708024612",
            "telephone_number": "225-242-4860",
            "fax_number": "225-342-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "RN106419",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "208336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.