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VILLAGE KIDZ WIC CLINIC
NPI 1639889454
Family Medicine in Baton Rouge, LA

Active since December 02, 2022CLIA 19D2273823 · Waiver
4085 FLORIDA BLVD STE A, BATON ROUGE, LA 70806(225) 200-6200(225) 465-5651 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Dec 2, 2022 (2 updates tracked since 2022).

About Village Kidz Wic Clinic NPPES

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

VILLAGE KIDZ WIC CLINIC (NPI 1639889454) is a healthcare organization registered as a family medicine in Baton Rouge, Louisiana and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Nikki Christy Honore', Owner/director, as its authorized official.

NPPES Registry Identity

NPI1639889454
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVILLAGE KIDZ WIC CLINIC
Location Address4085 FLORIDA BLVD STE ABaton Rouge, LA 70806-3858
Mailing Address4085 Florida Blvd Ste ABaton Rouge, LA 70806-3858 · (225) 964-5332 · Fax (225) 465-5651
Phone(225) 200-6200
Fax(225) 465-5651
Organization SubpartNo
Authorized OfficialNikki Christy Honore'Owner/director · (225) 964-5332
Enumeration DateDecember 2, 2022
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1639889454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNutritionistTaxonomy 133N00000X
Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4085 FLORIDA BLVD STE A, Baton Rouge, LA 70806
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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 19D2273823

Village Kidz Wic Clinic · Baton Rouge, LA
Active · expires Dec 19, 2026
CLIA Number19D2273823
Laboratory TypePractitioner Other
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorNikki Christy Honore
Laboratory Phone(225) 200-6200
Laboratory LocationVillage Kidz Wic Clinic4085 Florida Blvd, Ste A, Baton Rouge, LA 70806
CLIA data matches this NPI record on: Address Name 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 Village Kidz Wic Clinic's NPI number?

The NPI number for Village Kidz Wic Clinic is 1639889454. It was assigned to this organization in the NPPES registry on December 2, 2022.

Where is Village Kidz Wic Clinic located?

Village Kidz Wic Clinic is located at 4085 Florida Blvd Ste A, Baton Rouge, LA 70806. The listed phone number is (225) 200-6200.

What is Village Kidz Wic Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Village Kidz Wic Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2273823) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Village Kidz Wic Clinic was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.