LAKE CRESCENT HEALTH LLC
NPI 1255156113
Nurse Practitioner - Family in Baton Rouge, LA

NPI Status: Active since November 18, 2024

Contact Information

301 NORTH MAIN STREET
SUITE 2200
BATON ROUGE, LA
ZIP 70801
Phone: (504) 319-6078
Fax: (225) 644-6013

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  • 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 provider's . The authorized official of this NPI record is Lakeisha Mack Long Fnp-bc (Owner)

NPI
1255156113
Provider Legal Name
LAKE CRESCENT HEALTH LLC
Other Organization Name
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAKEISHA MACK LONG FNP-BC

Authorized Official Title
OWNER
Authorized Official Phone
(225) 831-6111

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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255156113, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 2 + 5 + 1 + 2 + 1 + 2 + 24 = 47

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 47 is 50. The difference is the calculated check digit.

50 - 47 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1255156113.

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.