Individual provider Active NPI

Angela Howland Clark, P.A.

  • Medical Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1861627093
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
200273 Issued in LA
Practice address
5439 Airline Hwy
Baton Rouge, LA 70805-1712
Phone
(225) 358-4853
Fax
(225) 358-2350
NPI assigned
May 18, 2009
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 200273 LA Primary

Addresses

Primary practice location

5439 Airline Hwy
Baton Rouge, LA 70805-1712

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 358-4853

Other practice location 1

1401 N Foster Dr
Baton Rouge, LA 70806-1818
Phone (225) 987-9084

Other practice location 2

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 358-4853

Other practice location 3

6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4174

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aclark569898@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/ Other

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
I20160106001366 LA Practitioner - Physician Assistant 4385946466 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5439 Airline Hwy
Baton Rouge, LA 70805-1712
Phone (225) 358-4853

7777 Hennessy Blvd
Baton Rouge, LA 70808-4363

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
200273LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Physician Assistant CurrentSince May 1, 2019 Accepting new patients
Convenient Care LLC CurrentSince Nov 26, 2019 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince May 1, 2019 Accepting new patients
Convenient Care LLC CurrentSince Nov 26, 2019 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Nov 26, 2019 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Nov 26, 2019 Accepting new patients
Health Care Centers in Schools Past Accepting new patients

Locations

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

1401 N Foster Dr
Baton Rouge, LA 70806
Phone (225) 987-9000

5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

1776 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 647-4988

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

40546 Highway 42
Prairieville, LA 70769
Phone (225) 744-4988

10714 Highway 431
Saint Amant, LA 70774
Phone (225) 644-0005

Interoperability endpoints

  • Direct secure messaging: aclark569898@direct.casso.us.com

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1861627093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-358-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 AIRLINE HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708051712",
            "telephone_number": "225-358-4853",
            "fax_number": "225-358-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 N Foster Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708061818",
            "country_code": "US",
            "telephone_number": "225-987-9084",
            "fax_number": "225-987-9096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5959 S Sherwood Forest Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708166038",
            "country_code": "US",
            "telephone_number": "225-358-4853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 Main St",
            "address_purpose": "LOCATION",
            "city": "Zachary",
            "state": "LA",
            "postal_code": "707914037",
            "country_code": "US",
            "telephone_number": "225-658-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "ANGELA",
        "middle_name": "HOWLAND",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "200273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aclark569898@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aclark569898@direct.casso.us.com",
            "address_1": "5439 Airline Hwy",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708051712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "5439 Airline Hwy",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708051712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.