Individual provider Active NPI

Crystal White Jeansonne, FNP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1124489372
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08664 Issued in LA
Practice address
4906 Ambassador Caffery Pkwy
Lafayette, LA 70508-6962
Phone
(337) 470-8699
Fax
(337) 470-7718
NPI assigned
Mar 16, 2016
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08664 LA Primary

Addresses

Primary practice location

4906 Ambassador Caffery Pkwy
Lafayette, LA 70508-6962

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 366-6004

Other practice location 1

1105 Kaliste Saloom Rd
Lafayette, LA 70508-5705
Phone (337) 470-1058

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711000923 LA Practitioner - Nurse Practitioner 2860761632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Cardiovascular Associates, LLCGroup PAC ID 3173908878, 3 clinicians

Practice addresses (Care Compare)

1029 Northwest Blvd
Franklin, LA 70538-3407
Phone (337) 366-6004

303 Rue Louis Xiv
Suite 104
Lafayette, LA 70508-5734
Phone (337) 366-6004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08664LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Center of Acadiana CurrentSince Apr 1, 2018 Accepting new patients
Louisiana Cardiovascular and Limb Salvage Center, Apmc CurrentSince Jun 1, 2020 Accepting new patients
Louisiana Cardiovascular Associates, LLC CurrentSince May 19, 2024 Accepting new patients
Acadian Physician Practices LLC Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

151 Hill St
Ste 1
Eunice, LA 70535
Phone (337) 457-8061

1029 Northwest Blvd
Franklin, LA 70538
Phone (337) 366-6004

200 Medical Dr
Franklin, LA 70538
Phone (337) 315-3988

200 Medical Dr
Ste B
Franklin, LA 70538
Phone (337) 828-5099

303 Rue Louis Xiv
Ste 104
Lafayette, LA 70508
Phone (337) 366-6004

4906 Ambassador Caffery Pkwy
Ste 1400
Lafayette, LA 70508
Phone (337) 988-9003

901 Wilson St
Lafayette, LA 70503
Phone (337) 237-8119

Interoperability endpoints

  • Direct secure messaging: crystal.jeansonne@4037.securemail.prognocis.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFBEDD

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1124489372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "337-366-6004",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086962",
            "telephone_number": "337-470-8699",
            "fax_number": "337-470-7718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Kaliste Saloom Rd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705085705",
            "country_code": "US",
            "telephone_number": "337-470-1058",
            "fax_number": "337-470-0047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEANSONNE",
        "first_name": "CRYSTAL",
        "middle_name": "WHITE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.