Individual provider Active NPI

Jakara Mouton

  • Gerontology Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1134092463
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
243073 Issued in LA
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

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 UnityGroup PAC ID 6406014919, 61 clinicians

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 Hospital, Lafayette, LA, CCN 190002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
243073LAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Unity CurrentSince Nov 13, 2025 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jan 12, 2026 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.

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

Verify at the official NPI Registry.