GHENET GHEBRETATIOS N.P. NPI 1356598031

NPI Information

  • NPI: 1356598031
  • Provider Name: GHENET GHEBRETATIOS, N.P.
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4950 ESSEN LN STE 500
    BATON ROUGE, LA
    ZIP 70809
  • Phone: (225) 767-1311

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NPI Details

Ghenet Ghebretatios, N.P. is a family nurse practitioner in Baton Rouge, LA with 51 years of experience. Ghenet Ghebretatios, N.P. NPI is 1356598031. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4950 ESSEN LN STE 500
BATON ROUGE, LA
ZIP 70809-738
Phone: (225) 767-1311
Fax: (225) 766-0218

The NPI 1356598031 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2008 and was last updated on 1/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily091641-03998LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11120812MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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