Active NPI
Hannah Roudebush
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Baton Rouge, LA
National Provider Identifier
1922667641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- ATH200415
- Practice address
- Lsu Athletic Administration Building
Baton Rouge, LA 70803-0001 - Phone
- (225) 337-3267
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | ATH200415 | LA | Primary |
Addresses
Primary practice location
Lsu Athletic Administration Building
Baton Rouge, LA 70803-0001
Mailing address
Lsu Athletic Administration Building
Baton Rouge, LA 70803-0001
Phone (225) 337-3267
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATH200415 | LA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1922667641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LSU ATHLETIC ADMINISTRATION BUILDING",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708030001",
"telephone_number": "225-337-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LSU ATHLETIC ADMINISTRATION BUILDING",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708030001",
"telephone_number": "225-337-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUDEBUSH",
"first_name": "HANNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "LA",
"license": "ATH200415",
"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 Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.