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SOUTHERN UNIVERSITY STUDENT HEALTH CENTER
NPI 1124174545
Nurse Practitioner in Baton Rouge, LA

Active since January 26, 2007CLIA 19D0972005 · Waiver
170 SWAN ST, BATON ROUGE, LA 70813(225) 771-3324(225) 771-2349 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southern University Student Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN UNIVERSITY STUDENT HEALTH CENTER (NPI 1124174545) is a healthcare organization registered as a nurse practitioner in Baton Rouge, Louisiana and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Terricka V Fields, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124174545
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSOUTHERN UNIVERSITY STUDENT HEALTH CENTER
Location Address170 SWAN STBaton Rouge, LA 70813-0001
Mailing AddressPo Box 11794Baton Rouge, LA 70813-1794 · (225) 771-3324 · Fax (225) 771-2349
Phone(225) 771-3324
Fax(225) 771-2349
Organization SubpartNo
Authorized OfficialTerricka V FieldsOffice Manager · (225) 771-4770
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 12, 2008
✔ NPI 1124174545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
170 SWAN ST, Baton Rouge, LA 70813
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Other Identifiers 2

Medicaid1529338LA
Medicaid1416886LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D0972005

Southern University Student Health Services · Baton Rouge, LA
Active · expires May 14, 2027
CLIA Number19D0972005
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorAlencia C. Ellis
Laboratory Phone(225) 771-4770
Laboratory LocationSouthern University Student Health ServicesBaranco-Hill Building, Baton Rouge, LA 70813
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern University Student Health Center's NPI number?

The NPI number for Southern University Student Health Center is 1124174545. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Southern University Student Health Center located?

Southern University Student Health Center is located at 170 Swan St, Baton Rouge, LA 70813. The listed phone number is (225) 771-3324.

What is Southern University Student Health Center's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Southern University Student Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D0972005) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern University Student Health Center was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.