Active NPI
Diana Sharon Badkoobeh, M.D.
- Obstetrics & Gynecology Physician
- Baton Rouge, LA
National Provider Identifier
1962865972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD61156996
- Practice address
- 500 Rue de la Vie St
Suite 413
Baton Rouge, LA 70817-5127 - Phone
- (225) 215-7442
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- No
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)
- Enrolled
- Credentials
- Doctor of Medicine
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD61156996 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | LA |
Addresses
NPPES NPI RegistryPrimary practice location
500 Rue de la Vie St
Suite 413
Baton Rouge, LA 70817-5127
Mailing address
1135 Briarridge Dr
Baton Rouge, LA 70810-5204
Phone (225) 485-5455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 30, 2021.
{
"created_epoch": "1459209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1962865972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 BRIARRIDGE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708105204",
"telephone_number": "225-485-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 RUE DE LA VIE ST",
"address_2": "SUITE 413",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708175127",
"telephone_number": "225-215-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADKOOBEH",
"first_name": "DIANA",
"middle_name": "SHARON",
"name_prefix": "Ms.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-29",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD61156996",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"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 Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.