NPIMap

Organization Active NPI

Louisiana Stat Care LLC

  • General Practice Physician
  • Baton Rouge, LA
National Provider Identifier
1891517512
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LOUISIANA STAT CARE LLC
Practice address
11055 Shoe Creek Dr
Baton Rouge, LA 70818-4022
Phone
(225) 261-4493
NPI assigned
Oct 25, 2024
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Mrs. Amanda Woodard
Title
Owner
Phone
(225) 261-4493

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

11055 Shoe Creek Dr
Baton Rouge, LA 70818-4022

Mailing address

11055 Shoe Creek Dr
Baton Rouge, LA 70818-4022
Phone (225) 261-4493

Other practice location 1

3907 S Sherwood Forest Blvd
Baton Rouge, LA 70816-4363
Phone (225) 367-6189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20241119004702 LA Part B Supplier - Clinic/Group Practice 3870028491 Receives reassigned benefits from 18 practitioners
Practice locations: Baton Rouge, LA
O20251218002071 LA DME Supplier - Physician - General Practice 3870028491 Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

3907 S Sherwood Frst
Baton Rouge, LA 70816
Phone (225) 367-6189

4415 S Sherwood Forest Blvd
Ste A1
Baton Rouge, LA 70816
Phone (225) 367-6189

4415 S Sherwood Frst
#A1
Baton Rouge, LA 70816

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1891517512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 SHOE CREEK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184022",
            "telephone_number": "225-261-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 SHOE CREEK DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708184022",
            "telephone_number": "225-261-4493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3907 S Sherwood Forest Blvd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708164363",
            "country_code": "US",
            "telephone_number": "225-367-6189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOUISIANA STAT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-261-4493",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jan 14, 2025; 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.

Verify at the official NPI Registry.