Active NPI
Jewel Makenzee Peters
- Student in an Organized Health Care Education/Training Program
- Ethel, LA
National Provider Identifier
1023925898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 8036 Raleigh Dr
Ethel, LA 70730-3813 - Phone
- (225) 245-2383
- NPI assigned
- Aug 26, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
8036 Raleigh Dr
Ethel, LA 70730-3813
Mailing address
8036 Raleigh Dr
Ethel, LA 70730-3813
Phone (225) 245-2383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787702400000",
"number": "1023925898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8036 RALEIGH DR",
"city": "ETHEL",
"state": "LA",
"postal_code": "707303813",
"telephone_number": "225-245-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8036 RALEIGH DR",
"city": "ETHEL",
"state": "LA",
"postal_code": "707303813",
"telephone_number": "225-245-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "JEWEL",
"middle_name": "MAKENZEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ethel, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.