Jennifer P Breaux

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

135221 Issued in LA

Practice address

15481 W Club Deluxe Rd
Hammond, LA 70403-1466

Phone

(985) 543-4165

NPI assigned

Sep 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Louisiana Department of Health - Office of Public Health

  • Public Health or Welfare Agency
  • Baton Rouge, LA
  • NPI 1396316212
  NPD (past)

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1124501168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15481 W CLUB DELUXE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031466",
            "telephone_number": "985-543-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15481 W CLUB DELUXE RD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031466",
            "telephone_number": "985-543-4165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20399 Government Blvd",
            "address_purpose": "LOCATION",
            "city": "Livingston",
            "state": "LA",
            "postal_code": "70754",
            "country_code": "US",
            "telephone_number": "225-686-7017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 11th Ave",
            "address_purpose": "LOCATION",
            "city": "Franklinton",
            "state": "LA",
            "postal_code": "704381161",
            "country_code": "US",
            "telephone_number": "985-839-5646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "330 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Amite",
            "state": "LA",
            "postal_code": "704222720",
            "country_code": "US",
            "telephone_number": "985-748-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "626 Carolina Ave",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273319",
            "country_code": "US",
            "telephone_number": "985-732-6615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "LA",
            "license": "135221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Bragagnini, PA-C
• Lisa Brand
• Christina Shea Bratcher, GSW
• Ashley Pinion Bratton, APRN, FNP
• Tracy Miller Brazan
• Kristen Breaux
• Whitney L Breaux, S.L.P.
• Olivia Breeland
• Cheri Breland
• Presley Brents

• All providers in Hammond, LA
• Community Health Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.