NPIMap

Organization Active NPI

Community School for Apprenticeship Learning Inc

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1942654686
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMMUNITY SCHOOL FOR APPRENTICESHIP LEARNING INC
Practice address
4962 Florida Blvd
Baton Rouge, LA 70806-4031
Phone
(225) 448-5399
Fax
(225) 448-3695
NPI assigned
Apr 19, 2016
Last updated
Jul 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Dujan Johnson
Title
Ceo
Phone
(225) 448-5399

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU
Family Medicine Physician 207Q00000X NU Primary
Local Education Agency (LEA) 251300000X NU

Addresses

Primary practice location

4962 Florida Blvd
Baton Rouge, LA 70806-4031

Mailing address

4962 Florida Blvd
Baton Rouge, LA 70806-4031
Phone (225) 448-5399

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1942654686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4962 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064031",
            "telephone_number": "225-448-5399",
            "fax_number": "225-448-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4962 FLORIDA BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064031",
            "telephone_number": "225-448-5399",
            "fax_number": "225-448-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SCHOOL FOR APPRENTICESHIP LEARNING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DUJAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-448-5399"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 21, 2020; 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.