Organization Active NPI

Untamed Health

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1790512234
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UNTAMED HEALTH
Practice address
5525 Superior Dr Ste C3
Baton Rouge, LA 70816-8052
Phone
(225) 496-1921
Fax
(225) 217-8899
NPI assigned
Sep 18, 2024
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Mr. Matthew Naquin, FNPNPI 1760867626
Title
FNP/Owner
Phone
(225) 413-2265

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)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

5525 Superior Dr Ste C3
Baton Rouge, LA 70816-8052

Mailing address

5525 Superior Dr Ste C3
Baton Rouge, LA 70816-8052
Phone (225) 496-1921

Other names 1

  • Untamed Health Other name

National Provider Directory

National Provider Directory

Locations

5525 Superior Dr
Ste C3
Baton Rouge, LA 70816
Phone (225) 496-1921

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1790512234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 SUPERIOR DR STE C3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168052",
            "telephone_number": "225-496-1921",
            "fax_number": "225-217-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 SUPERIOR DR STE C3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168052",
            "telephone_number": "225-496-1921",
            "fax_number": "225-217-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTAMED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "NAQUIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "FNP/OWNER",
        "authorized_official_telephone_number": "225-413-2265",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Untamed Health",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Untamed Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.