Individual provider Active NPI

Jeanne Bienvenu Dakin, CPNP

  • Pediatric Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1013189125
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP03986 Issued in LA
Practice address
100 Medical Center Dr
Slidell, LA 70461-5520
Phone
(985) 646-5488
Fax
(985) 646-5720
NPI assigned
Mar 28, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP03986 LA Primary

Addresses

Primary practice location

100 Medical Center Dr
Slidell, LA 70461-5520

Mailing address

1027 Saint Mary St
Slidell, LA 70460-2325
Phone (985) 649-0513

Other identifiers 1

IdentifierTypeStateIssuer
1142620MedicaidLA

Other names 1

  • Jeanne Marie Bienvenu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP03986LAMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jdakin3475@direct.ochsner.org

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1013189125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 SAINT MARY ST",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704602325",
            "telephone_number": "985-649-0513",
            "fax_number": "985-646-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615520",
            "telephone_number": "985-646-5488",
            "fax_number": "985-646-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAKIN",
        "first_name": "JEANNE",
        "middle_name": "BIENVENU",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP03986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1142620",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "BIENVENU",
            "middle_name": "MARIE",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.