Individual provider Active NPI

Lakeisha Mack Long, DNP, FNP-BC, CME

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1902544976
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223994 Issued in LA
Practice address
301 Main St Ste 2200
Baton Rouge, LA 70801-0014
Phone
(504) 319-6078
NPI assigned
May 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 223994 LA Primary

Addresses

Primary practice location

301 Main St Ste 2200
Baton Rouge, LA 70801-0014

Mailing address

PO Box 82
Sorrento, LA 70778-0082
Phone (504) 319-6078

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
I20230120001830 LA Practitioner - Nurse Practitioner 7517338064 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Baton Rouge, LA 70801
Phone (504) 319-6078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Oct 8, 2022 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince May 21, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince May 21, 2024 Accepting new patients
Lake Crescent Health LLC Family CurrentSince Nov 21, 2024 Accepting new patients
Osh-in Physicians Group, PC Family Past Accepting new patients

Locations

301 Main St
Ste 2200
Baton Rouge, LA 70801
Phone (225) 329-2337

1750 Elton Rd
Jennings, LA 70546
Phone (337) 329-6565

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 224-6402

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1902544976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82",
            "city": "SORRENTO",
            "state": "LA",
            "postal_code": "707780082",
            "telephone_number": "504-319-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST STE 2200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708010014",
            "telephone_number": "504-319-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LAKEISHA",
        "middle_name": "MACK",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC, CME",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "223994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.