Individual provider Active NPI

Jacob Dwayne Labatut

  • Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1003555624
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
226191 Issued in LA
Practice address
8585 Picardy Ave Ste 110
Baton Rouge, LA 70809-3749
Phone
(225) 767-0822
Fax
(225) 769-5424
NPI assigned
Jun 1, 2022
Last updated
May 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 226191 LA Primary
Registered Nurse 163W00000X RN154204 LA

Addresses

Primary practice location

8585 Picardy Ave Ste 110
Baton Rouge, LA 70809-3749

Mailing address

39438 Highway 929
Prairieville, LA 70769-4927
Phone (225) 323-3999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220706003962 LA Practitioner - Nurse Practitioner 8527448687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9103 Jefferson Hwy
Baton Rouge, LA 70809-2440
Phone (225) 927-1190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN154204LAMDRegistered Nurse
226191LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC CurrentSince May 1, 2024 Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince May 1, 2024 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2024 Accepting new patients
Lsuhn Billing LLC Current Accepting new patients
Texas Digestive Disease Consultants, PLLC Past Accepting new patients
American Oncology Partners, P.a. Past Accepting new patients

Locations

5131 Odonovan Dr
Baton Rouge, LA 70808
Phone (225) 354-0120

5131 Odonovan Dr
Ste 400
Baton Rouge, LA 70808

8585 Picardy Ave
Ste 110
Baton Rouge, LA 70809
Phone (225) 767-0822

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1003555624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39438 HIGHWAY 929",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694927",
            "telephone_number": "225-323-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE STE 110",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093749",
            "telephone_number": "225-767-0822",
            "fax_number": "225-769-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABATUT",
        "first_name": "JACOB",
        "middle_name": "DWAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-01",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "226191",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN154204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.