Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taylor Malynn Beauregard, PA

Individual provider Physician Assistant · NPI 1700526050

Taylor Malynn Beauregard, PA is a Physician Assistant in Baton Rouge, Louisiana. Qualified in 2022, 4 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7777 Hennessy Blvd Ste 102
Baton Rouge, LA 70808-4363
Phone: (225) 765-2048
Fax: (225) 765-1958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 — (225) 765-6565

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 333123 (LA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1700526050
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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