Active NPI
Jeanne Bienvenu Dakin, CPNP
- Pediatric Nurse Practitioner
- Slidell, LA
National Provider Identifier
1013189125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP03986
- 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, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1142620 | Medicaid | LA |
Other names 1
- Jeanne Marie Bienvenu
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP03986 | LA | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- 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.