NPIMap

Organization Active NPI

Immi, LLC

  • Primary Care Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1902549637
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
IMMI, LLC
Practice address
10101 Park Rowe Ave
Baton Rouge, LA 70810-1686
Phone
(225) 769-2200
NPI assigned
Apr 20, 2022
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Jess Duet Anderson, MD
Title
Owner/Physician
Phone
(985) 637-6629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

10101 Park Rowe Ave
Baton Rouge, LA 70810-1686

Mailing address

2310 Marianne Ave
Zachary, LA 70791-2740
Phone (985) 637-6629

National Provider Directory

National Provider Directory

Locations

10101 Park Rowe Ave
Baton Rouge, LA 70810
Phone (225) 315-2428

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1902549637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 MARIANNE AVE",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912740",
            "telephone_number": "985-637-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 PARK ROWE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101686",
            "telephone_number": "225-769-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JESS",
        "authorized_official_middle_name": "DUET",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "985-637-6629",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "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 Apr 20, 2022; 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.