Individual provider Active NPI

Jenny A. Templet, M.D.

  • Family Medicine Physician
  • Thibodaux, LA
National Provider Identifier
1124236658
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200987 Issued in LA
Practice address
804 South Acadia Road
Thibodaux, LA 70301
Phone
(985) 446-2680
Fax
(985) 447-2528
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200987 LA Primary

Addresses

Primary practice location

804 South Acadia Road
Thibodaux, LA 70301

Mailing address

804 South Acadia Road
Thibodaux, LA 70301
Phone (985) 446-2680

Other identifiers 1

IdentifierTypeStateIssuer
1238384MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080714000517 LA Practitioner - Family Practice 6709959430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

804 S Acadia Rd
Thibodaux, LA 70301-4850
Phone (985) 446-2680

Hospital & facility affiliations

  • Home Health Ctr of Thibodaux Home health agency, Thibodaux, LA, CCN 197187
  • Divinity Home Health Services, LLC Home health agency, Thibodaux, LA, CCN 197485
  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
  • Audubon Health and Rehab Nursing home, Thibodaux, LA, CCN 195275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200987LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Doctor Clinic DRS Harris & Magee a Medical Corporation Family Medicine CurrentSince Aug 1, 2008 Accepting new patients
Family Doctor Clinic DRS Harris & Magee a Medical Corporation Family Medicine CurrentSince Aug 1, 2008 Accepting new patients
Thibodaux Regional Health System Inc Past Accepting new patients

Locations

335 Bayou Gardens Blvd
Houma, LA 70364
Phone (985) 446-2680

804 S Acadia Rd
Thibodaux, LA 70301
Phone (985) 446-2680

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1124236658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SOUTH ACADIA ROAD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-2680",
            "fax_number": "985-447-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SOUTH ACADIA ROAD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-2680",
            "fax_number": "985-447-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLET",
        "first_name": "JENNY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "200987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1238384",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.