Active NPI
Claire Roethele, PA
- Physician Assistant
- Baton Rouge, LA
National Provider Identifier
1770191405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 500 Rue de la Vie St Ste 405
Baton Rouge, LA 70817-5128 - Phone
- (225) 928-2555
- Fax
- (225) 929-9685
- NPI assigned
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 323733 | LA | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
500 Rue de la Vie St Ste 405
Baton Rouge, LA 70817-5128
Mailing address
PO Box 45171
Baton Rouge, LA 70895-4171
Phone (225) 928-2555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 323733 | Other | LA | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | claire.roethele@infamedics.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge Neonatal Associates, Inc. | Past | Accepting new patients | |
| Baton Rouge Neonatal Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Infamedics
- Critical Care Neonatal Nurse Practitioner
- Baton Rouge, LA
- NPI 1225484298
-
dba Infamedics, Inc.
- Neonatal-Perinatal Medicine Physician
- Baton Rouge, LA
- NPI 1922193911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1770191405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45171",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708954171",
"telephone_number": "225-928-2555",
"fax_number": "225-929-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RUE DE LA VIE ST STE 405",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175128",
"telephone_number": "225-928-2555",
"fax_number": "225-929-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROETHELE",
"first_name": "CLAIRE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2021-05-26",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "323733",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "323733",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "claire.roethele@infamedics.com",
"affiliation": "N",
"endpointDescription": "Work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Unknown",
"address_1": "500 Rue De La Vie St Ste 405",
"city": "Baton Rouge",
"state": "LA",
"country_code": "US",
"postal_code": "708175128",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.