NPIMap

Organization Active NPI

Acceptance Kidmed of la LLC

  • Ph.D. Medical Genetics
  • Baton Rouge, LA
National Provider Identifier
1992072953
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
Legal business name
ACCEPTANCE KIDMED OF LA LLC
Practice address
947 N Bon Marche Dr
107
Baton Rouge, LA 70806-8833
Phone
(225) 405-2874
NPI assigned
Nov 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Ms. Sharita Davis Acklin
Title
Administrator
Phone
(225) 405-2874

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical GeneticsGroup: 193200000X MULTI-SPECIALTY GROUP 170100000X Primary

Addresses

Primary practice location

947 N Bon Marche Dr
107
Baton Rouge, LA 70806-8833

Mailing address

947 N Bon Marche Dr
107
Baton Rouge, LA 70806-8833
Phone (225) 405-2874

National Provider Directory

National Provider Directory
Tax ID family
Acceptance Kidmed of la LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1992072953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 N BON MARCHE DR",
            "address_2": "107",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068833",
            "telephone_number": "225-405-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 N BON MARCHE DR",
            "address_2": "107",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068833",
            "telephone_number": "225-405-2874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCEPTANCE KIDMED OF LA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-18",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "ACKLIN",
        "authorized_official_first_name": "SHARITA",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-405-2874",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": null,
            "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 Nov 18, 2011; 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.