Individual provider Active NPI

Jennifer Lane Taylor-Pitzer, FPSS

  • Peer Specialist
  • Lafayette, LA
National Provider Identifier
1124992151
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
10041 Issued in LA
Practice address
720 Saint John St
Lafayette, LA 70501-6706
Phone
(337) 237-2090
NPI assigned
Oct 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 10041 LA Primary

Addresses

Primary practice location

720 Saint John St
Lafayette, LA 70501-6706

Mailing address

544B W 11TH St
Jennings, LA 70546-4122
Phone (337) 275-7710

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

LicenseStateTypeSpecialty
10041LAMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
The Extra Mile, Region IV, Inc. CurrentSince Oct 5, 2025 Accepting new patients
The Extra Mile, Region IV, Inc. PastSince Oct 5, 2025 Accepting new patients

Locations

720 Saint John St
Lafayette, LA 70501
Phone (337) 237-2090

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1124992151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544B W 11TH ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464122",
            "telephone_number": "337-275-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 SAINT JOHN ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016706",
            "telephone_number": "337-237-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR-PITZER",
        "first_name": "JENNIFER",
        "middle_name": "LANE",
        "credential": "FPSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "LA",
            "license": "10041",
            "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 Oct 2, 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.

Verify at the official NPI Registry.