Active NPI
Jakara Mouton
- Gerontology Nurse Practitioner
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 243073
- Practice address
- 2810 Ambassador Caffery Pkwy FL 6
Lafayette, LA 70506-5906 - Phone
- (337) 289-8180
- NPI assigned
- Sep 24, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 243073 | LA | Primary |
Addresses
Primary practice location
2810 Ambassador Caffery Pkwy FL 6
Lafayette, LA 70506-5906
Mailing address
5224 75TH St Ste D
Lubbock, TX 79424-2525
Phone (806) 712-1096
Other practice location 1
443 King St
Jennings, LA 70546-7426
Phone (337) 275-1936
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251124001884 | LA | Practitioner - Nurse Practitioner | 8820580251 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physicians Unity
Practice addresses (Care Compare)
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 289-8180
6198 Cypress St
West Monroe, LA 71291-9013
Phone (318) 397-6360
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243073 | LA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Unity | Current | Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
901 Wilson St
Ste D
Lafayette, LA 70503
Phone (337) 889-5726
2810 Ambassador Caffery Pkwy
Fl 6
Lafayette, LA 70506
Phone (318) 684-6050
901 Wilson St
Ste C
Lafayette, LA 70503
Phone (337) 372-2400
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1134092463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5224 75TH ST STE D",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794242525",
"telephone_number": "806-712-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 AMBASSADOR CAFFERY PKWY FL 6",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705065906",
"telephone_number": "337-289-8180"
}
],
"practiceLocations": [
{
"address_1": "443 King St",
"address_purpose": "LOCATION",
"city": "Jennings",
"state": "LA",
"postal_code": "705467426",
"country_code": "US",
"telephone_number": "337-275-1936",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOUTON",
"first_name": "JAKARA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-24",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "LA",
"license": "243073",
"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 Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.