LAKE CRESCENT HEALTH LLC
NPI 1255156113
Nurse Practitioner - Family in Baton Rouge, LA
- Organization
- Nurse Practitioner
- Family
- Accepts Insurance
- CLIA Number: 19D2330525
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 09-16-2027
About LAKE CRESCENT HEALTH LLC
This page provides the complete NPI Profile along with additional information for Lake Crescent Health Llc, a provider established in Baton Rouge, Louisiana operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1255156113 assigned on November 2024. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Lakeisha Mack Long Fnp-bc (Owner)
- NPI
- 1255156113 Verify this NPI
- Provider Name
- LAKE CRESCENT HEALTH LLC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 301 NORTH MAIN STREET SUITE 2200 BATON ROUGE, LA 70801
- Location Phone
- (504) 319-6078
- Location Fax
- (225) 644-6013
- Mailing Address
- PO BOX 82 SORRENTO, LA 70778
- Mailing Phone
- (225) 831-6111
- Mailing Fax
- (225) 644-6013
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-18-2024
- Last Update Date
- 12-03-2025
- Code Navigator
A nurse practitioner (NP) like Lake Crescent Health Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 19D2330525
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- September 17, 2025
- Certificate Expiration Date
- September 16, 2027
- Laboratory Director
- LAKEISHA M. LONG
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Lake Crescent Health Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255156113, enumerated as an "organization" on November 18, 2024.
The provider is located at 301 NORTH MAIN STREET SUITE 2200 BATON ROUGE, LA 70801 and the phone number is (504) 319-6078.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana. Please consult your insurance carrier or call the provider to verify.
