Individual provider Active NPI

Jill Laroussini

  • Registered Nurse
  • Youngsville, LA
National Provider Identifier
1104454719
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN043498 Issued in LA
Practice address
101 Guillot Rd
Youngsville, LA 70592-5832
Phone
(337) 856-1964
Fax
(337) 856-5272
NPI assigned
Mar 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN043498 LA Primary

Addresses

Primary practice location

101 Guillot Rd
Youngsville, LA 70592-5832

Mailing address

PO Box 23
Youngsville, LA 70592-0023
Phone (337) 856-1964

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

State licenses

LicenseStateTypeSpecialty
RN043498LAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Seidl & Associates Inc PastSince Apr 5, 2020 Accepting new patients
Seidl & Associates Inc PastSince Apr 5, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1104454719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705920023",
            "telephone_number": "337-856-1964",
            "fax_number": "337-856-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 GUILLOT RD",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925832",
            "telephone_number": "337-856-1964",
            "fax_number": "337-856-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROUSSINI",
        "first_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN043498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.