Individual provider Active NPI

Briana Mayo, N.P.

  • Pediatric Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1891938627
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP05743 Issued in LA
Practice address
888 Tara Blvd
Ste E
Baton Rouge, LA 70806-7818
Phone
(225) 926-4400
Fax
(225) 926-4409
NPI assigned
Apr 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP05743 LA Primary

Addresses

Primary practice location

888 Tara Blvd
Ste E
Baton Rouge, LA 70806-7818

Mailing address

888 Tara Blvd
Ste E
Baton Rouge, LA 70806-7818
Phone (225) 926-4400

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP05743LAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pedicons, Inc. Current Accepting new patients

Locations

5151 Plank Rd
Ste 38
Baton Rouge, LA 70805
Phone (225) 356-2006

14305 Grand Settlement Blvd
Ste B
Baton Rouge, LA 70818

5151 Plank Rd
Ste 310
Baton Rouge, LA 70805

10130 Crossing Way
Ste 335
Denham Springs, LA 70726
Phone (225) 667-2777

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1891938627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "STE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067818",
            "telephone_number": "225-926-4400",
            "fax_number": "225-926-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "STE E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067818",
            "telephone_number": "225-926-4400",
            "fax_number": "225-926-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "BRIANA",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP05743",
            "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 Apr 9, 2009; 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.