Active NPI
Janet Ruth Juracovich, ANP-BC
- Adult Health Nurse Practitioner
- Lafayette, LA
National Provider Identifier
1124327630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP06340
- Practice address
- 121 Rue Louis Xiv BLDG 4
Suite B
Lafayette, LA 70508-5738 - Phone
- (337) 984-9355
- Fax
- (337) 984-9592
- NPI assigned
- Mar 23, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN063196-AP06340 | LA | |
| Registered Nurse | 163W00000X | RN063196 | LA | |
| Adult Health Nurse Practitioner | 363LA2200X | AP06340 | LA | Primary |
Addresses
Primary practice location
121 Rue Louis Xiv BLDG 4
Suite B
Lafayette, LA 70508-5738
Mailing address
121 Rue Louis Xiv BLDG 4
Suite B
Lafayette, LA 70508-5738
Phone (337) 984-9355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2196391 | Medicaid | LA |
Other names 1
- Ms. Jan Ruth Juracovich
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN063196 | LA | MD | Registered Nurse |
| AP06340 | LA | MD | Adult Health Nurse Practitioner |
| RN063196-AP06340 | LA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological Associates of Louisiana, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurological Surgery Physician
- Lafayette, LA
- NPI 1083721856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399939200000",
"number": "1124327630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 RUE LOUIS XIV BLDG 4",
"address_2": "SUITE B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705085738",
"telephone_number": "337-984-9355",
"fax_number": "337-984-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 RUE LOUIS XIV BLDG 4",
"address_2": "SUITE B",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705085738",
"telephone_number": "337-984-9355",
"fax_number": "337-984-9592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JURACOVICH",
"first_name": "JANET",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-23",
"last_updated": "2014-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "LA",
"license": "RN063196-AP06340",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN063196",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "LA",
"license": "AP06340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2196391",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JAN",
"last_name": "JURACOVICH",
"middle_name": "RUTH",
"prefix": "MS.",
"credential": "ANP-BC",
"code": "2",
"type": "Professional Name"
}
]
}
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 May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.