Active NPI
Strawberry Patch Pediatrics LLC
Doing business as West Oak Family Clinic
- Rural Health Clinic/Center
- Amite, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- STRAWBERRY PATCH PEDIATRICS LLC
- Doing business as
- West Oak Family Clinic
- Practice address
- 903 W Oak St
Amite, LA 70422-2754 - Phone
- (855) 869-9898
- NPI assigned
- Dec 11, 2020
- Last updated
- Aug 9, 2022
- 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
- Ernest Drake
- Title
- Ceo
- Phone
- (225) 278-7691
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NU | Primary |
Addresses
Primary practice location
903 W Oak St
Amite, LA 70422-2754
Mailing address
903 W Oak St
Amite, LA 70422-2754
Other names 1
- West Oak Family Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200124001188 | LA | Part B Supplier - Clinic/Group Practice | 5294160859 |
Receives reassigned benefits from 11 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Amite, LA; Ponchatoula, LA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Strawberry Patch Pediatrics & Family Clinic
- Rural Health Clinic/Center
- Ponchatoula, LA
- NPI 1346895638
O20200124001188
National Provider Directory
National Provider DirectoryLocations
903 W Oak St
Amite, LA 70422
Phone (833) 901-1504
1054 SW Railroad Ave
Ponchatoula, LA 70454
Phone (855) 869-9898
Practitioners & affiliated clinicians
Practitioners 24
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.
-
- Pediatrics Physician
- Walker, LA
- NPI 1174783344
-
- Family Nurse Practitioner
- Independence, LA
- NPI 1154175701
-
- Clinical Social Worker
- Ponchatoula, LA
- NPI 1053209122
-
- Family Nurse Practitioner
- Mandeville, LA
- NPI 1306512355
-
- Family Nurse Practitioner
- Ponchatoula, LA
- NPI 1467868844
-
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1740969013
-
- Clinical Social Worker
- Amite, LA
- NPI 1669060356
-
- Family Medicine Physician
- Amite, LA
- NPI 1730772617
-
- Clinical Social Worker
- Amite, LA
- NPI 1891342184
-
- Family Nurse Practitioner
- Loranger, LA
- NPI 1386475655
-
- Clinical Social Worker
- Loranger, LA
- NPI 1336623107
-
- Speech-Language Pathologist
- Holden, LA
- NPI 1659849263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660003200000",
"number": "1861088098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 W OAK ST",
"city": "AMITE",
"state": "LA",
"postal_code": "704222754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "903 W OAK ST",
"city": "AMITE",
"state": "LA",
"postal_code": "704222754",
"telephone_number": "855-869-9898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRAWBERRY PATCH PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-11",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A",
"authorized_official_last_name": "DRAKE",
"authorized_official_first_name": "ERNEST",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "225-278-7691"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West Oak Family Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "West Oak Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amite, LA
- Monteral H Sopsher, SLP-A 4114
- Brittany Arlene Dykes St Cyr, FNP-BC
- Melanie McKee Stevens, LPC
- Stewart Transportation LLC
- Tasheka Rena Stewart
- Brindley Tallia, M.S. CCC-SLP
- Tangi Pines Nursing Center LLC
- Tangi Pines Senior Care, L.L.C (Tangi Pines Nursing Center)
- Tangipahoa Parish School System
- Tangipahoa Parish School System
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.