Healthcare Provider Details

I. General information

NPI: 1487788725
Provider Name (Legal Business Name): NAKIA MICHELE CHILTON LPN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8126 JEFFERSON PARK DR
BATON ROUGE LA
70817-6324
US

IV. Provider business mailing address

16311 WOODLAWN ACRES AVE
BATON ROUGE LA
70817-5657
US

V. Phone/Fax

Practice location:
  • Phone: 225-610-0493
  • Fax:
Mailing address:
  • Phone: 225-571-3185
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number250415
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMBE36399877K
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberOBHPSS1194
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: