Individual provider Active NPI

Jennifer Baham, RN

  • Psychiatric/Mental Health Registered Nurse
  • Slidell, LA
National Provider Identifier
1023447521
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN123000 Issued in LA
Practice address
700 Gause Blvd
Suite 201
Slidell, LA 70458-2800
Phone
(504) 455-2446
NPI assigned
Nov 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN123000 LA Primary

Addresses

Primary practice location

700 Gause Blvd
Suite 201
Slidell, LA 70458-2800

Mailing address

700 Gause Blvd
Suite 201
Slidell, LA 70458-2800
Phone (985) 768-1923

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN123000LAMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1023447521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GAUSE BLVD",
            "address_2": "SUITE 201",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582800",
            "telephone_number": "985-768-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GAUSE BLVD",
            "address_2": "SUITE 201",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582800",
            "telephone_number": "504-455-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHAM",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "LA",
            "license": "RN123000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 5, 2013; 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.