NPIMap

Organization Active NPI

Red Stick Pediatrics

  • Pediatrics Physician
  • Baton Rouge, LA
National Provider Identifier
1992986715
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
019542 Issued in LA
Legal business name
RED STICK PEDIATRICS
Practice address
888 Tara Blvd
Ste F
Baton Rouge, LA 70806-8401
Phone
(225) 273-5995
Fax
(225) 273-7475
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Mrs. Whitney Hilbun-Martinez
Title
Clinic Administrator
Phone
(225) 926-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 019542 LA Primary

Addresses

Primary practice location

888 Tara Blvd
Ste F
Baton Rouge, LA 70806-8401

Mailing address

888 Tara Blvd
Ste F
Baton Rouge, LA 70806-8401
Phone (225) 273-5995

Other names 1

  • Old Hammond Pediatrics Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1079564Red Stick Pediatrics888 Tara Blvd, Baton Rouge, LA 70806Certificate of waiverSep 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Old Hammond Pediatrics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

888 Tara Blvd
Ste F
Baton Rouge, LA 70806
Phone (225) 273-5995

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1992986715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "STE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068401",
            "telephone_number": "225-273-5995",
            "fax_number": "225-273-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "STE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708068401",
            "telephone_number": "225-273-5995",
            "fax_number": "225-273-7475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED STICK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "HILBUN-MARTINEZ",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "225-926-4400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "019542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Old Hammond Pediatrics",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.