Jennifer Claire Waguespack-Labiche, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

024449 Issued in LA

Practice address

803 Albertson Pkwy
Broussard, LA 70518-5096

Phone

(337) 839-2773

Fax

(337) 839-2776

NPI assigned

Jun 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Louisiana State University School of Medicine in New Orleans, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hubbell Dermatology and Aesthetics a Professional Medical CorporationGroup PAC ID 2365442456, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.77 of 100Reported as group

Quality

85.54

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwaguespacklabiche@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hubbell Dermatology and Aesthetics a Professional Medical Corporation

  • Specialist
  • Lafayette, LA
  • NPI 1811038433
  Medicare reassignment Care Compare group NPD
• Iberia Dermatology

  • Dermatology Physician
  • New Iberia, LA
  • NPI 1518094010
  NPD (past)
• John M Azar MD Apmc

  • Ophthalmology Physician
  • Lafayette, LA
  • NPI 1578720769
  NPD (past)
• Mark B. Charbonnet, MD Apmc

  • Medical Oncology Physician
  • New Iberia, LA
  • NPI 1740317221
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1033146352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 ALBERTSON PKWY",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185096",
            "telephone_number": "337-839-2773",
            "fax_number": "337-839-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 ALBERTSON PKWY",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705185096",
            "telephone_number": "337-839-2773",
            "fax_number": "337-839-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGUESPACK-LABICHE",
        "first_name": "JENNIFER",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "024449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viator Nutrition LLC
• McKenzie Camille Viator
• John Steven Viguerie, RPH
• Mallory Vincent, OTR
• Michele Renee Vincent, LCSW
• Elaine Marie Waguespack, APRN - FNP
• Wal-Mart Stores East LP
• Walgreen Co
• Wheely Life, LLC
• William S Darr DDS Apdc

• Dermatology Physician in Broussard, LA
• Providers in Broussard, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.