Provider Demographics
NPI:1174927685
Name:UNIQUE HEALTHCARE OPTIONS
Entity type:Organization
Organization Name:UNIQUE HEALTHCARE OPTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ANNISA
Authorized Official - Middle Name:LEACHMAN
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:225-341-0478
Mailing Address - Street 1:5120 GROOM RD
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:LA
Mailing Address - Zip Code:70714-3124
Mailing Address - Country:US
Mailing Address - Phone:225-341-0478
Mailing Address - Fax:
Practice Address - Street 1:5120 GROOM RD
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:LA
Practice Address - Zip Code:70714-3124
Practice Address - Country:US
Practice Address - Phone:225-774-1077
Practice Address - Fax:225-774-1078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-13
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP05937261QP2300X
363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
1578892956OtherINDIVIDUAL NPI
LA2113488Medicaid
LA2113488Medicaid