Jerry Patrick Ford

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

114 Arlington Dr
Monroe, LA 71203-4702

Phone

(318) 509-9841

NPI assigned

Apr 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1554422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1013479153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 ARLINGTON DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034702",
            "telephone_number": "318-509-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ARLINGTON DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034702",
            "telephone_number": "318-509-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "JERRY",
        "middle_name": "PATRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-05",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Brent Flynn, M.D.
• Marla Fontana
• Andrew Michael Fontenot, PHARMD
• Footsteps Counseling Services, LLC
• Janice L Ford, M.D.
• John Ford Jr., LPC
• Ladonna Ford, M.D.
• Alexander Lee Forehan, MS, ATC
• Michael Harold Foret, PHARMD
• Forever and a Day, LLC

• Attendant Care Provider in Monroe, LA
• Providers in Monroe, LA by specialty
• Attendant Care Provider in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; 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.