Active NPI
Thomas Ventress, FNP-C
- Nurse Practitioner
- Lafayette, LA
National Provider Identifier
1114724713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 239876
- Practice address
- 104 E University Ave
Lafayette, LA 70504-3772 - Phone
- (337) 482-1000
- NPI assigned
- Mar 1, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 239876 | LA | Primary |
Addresses
Primary practice location
104 E University Ave
Lafayette, LA 70504-3772
Mailing address
104 E University Ave
Lafayette, LA 70503-2014
Phone (337) 482-1000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 239876 | LA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1114724713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 E UNIVERSITY AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032014",
"telephone_number": "337-482-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 E UNIVERSITY AVE",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705043772",
"telephone_number": "337-482-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTRESS",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-01",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "239876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.