JPD MEDICAL (NPI# 1275072795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275072795 |
| Entity Type | Organization |
| Organization Name | JPD MEDICAL |
| Practice Address |
100 Field Crest Pkwy Youngsville LA 70592-5652 |
| Practice Telephone | 3376842299 |
| Mailing Telephone | 3376842299 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Authorized Official Name | JOHN DIES (OWNER) |
| Authorized Official Telephone | 3376842299 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP07767 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 FIELD CREST PKWY |
| City | YOUNGSVILLE |
| State | LA |
| Zip Code | 70592-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437796844 | Tanisha Daniele Middleton | Behavior Technician | 209 Centre Scarcelle Boulevard, 201, Youngsville, LA 70592 | 2019-12-04 |
| 1578023800 | Youngsville Eye Clinic LLC | Optometrist | 2818 Bonin Rd, Youngsville, LA 70592 | 2019-03-22 |
| 1942727763 | Katherine Broussard Juneau | Social Worker | 317 Nora Broussard Rd, Youngsville, LA 70592 | 2017-08-23 |
| 1538694773 | Luciana Girouard | Behavior Technician | 209 Centre Sarcelle Blvd Ste 201, Youngsville, LA 70592 | 2017-04-25 |
| 1922557750 | Whispering Oaks Lodge LLC | Substance Abuse Rehabilitation Facility | 617 Piat Road, Youngsville, LA 70592 | 2016-09-21 |
| 1811362528 | Lauren Stone | Physical Therapist | 100 Holstien Ln, Youngsville, LA 70592 | 2015-12-07 |
| 1356671374 | Louisiana Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2910 E. Milton Ave, Youngsville, LA 70592 | 2010-01-14 |
| 1376778464 | Anne Marie Biro | Physical Therapy Assistant | 170 Atlas Road, Youngsville, LA 70592 | 2009-05-19 |
| 1457593618 | Fallon Strother Mcmanus | Family Medicine | 103 Centre Sarcelle Blvd, Suite 506, Youngsville, LA 70592 | 2009-04-01 |
| 1346497146 | Cashway Pharmacy of Youngsville | Pharmacist | 810 S. Saint Blaise Lane, Suite A, Youngsville, LA 70592 | 2008-08-22 |
| Find all providers in zip 70592 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982003208 | Simone Louise Babineaux | Nurse Practitioner | 118 Brundage Ln, Youngsville, LA 70592-5699 | 2014-08-22 |
| 1073912150 | Natalie A Babin | Nurse Practitioner | 5701 Ambassador Caffery Pkwy Ste B, Youngsville, LA 70592-5181 | 2014-08-14 |
| 1629336300 | Lauren Bradley | Nurse Practitioner | 732 Young St, Youngsville, LA 70592-5501 | 2012-05-01 |
| 1770796161 | Youngsville Medical LLC | Nurse Practitioner | 3215 East Milton Avenue Suite 1, Youngsville, LA 70592-5546 | 2007-05-08 |
| 1104892744 | Shelly Nash | Nurse Practitioner | 3215 E. Milton Avenue, Youngsville, LA 70592-5738 | 2006-02-24 |
| 1114401551 | Aida Orgeron | Nurse Practitioner | 2810 Bonin Rd, Youngsville, LA 70592-5600 | 2018-09-21 |
| 1649712878 | Elizabeth G. Anderson | Nurse Practitioner | 400 E Main St, Youngsville, PA 16371-1128 | 2016-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1902407190 | Amy Schulin Long | Nurse Practitioner | 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 | 2020-11-04 |
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1568061950 | Kecia Clark | Nurse Practitioner | 3009 Englewood Dr, Jennings, LA 70546-3266 | 2020-10-19 |
| 1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1528674280 | Acadiana Wound & Ostomy On Wheels | Nurse Practitioner | 218 Division Street, Krotz Springs, LA 70750 | 2020-09-18 |
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSVILLE |
| Zip Code | 70592 |
Please comment or provide details below to improve the information on JPD MEDICAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.