Individual provider Active NPI

Jennifer Laborde, MSN APRN FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1184984130
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
686396 Issued in TX
Practice address
6025 Metropolitan Dr Ste 290
Beaumont, TX 77706-2409
Phone
(409) 554-0545
NPI assigned
May 24, 2012
Last updated
Jul 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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 686396 TX Primary

Addresses

Primary practice location

6025 Metropolitan Dr Ste 290
Beaumont, TX 77706-2409

Mailing address

6025 Metropolitan Dr Ste 290
Beaumont, TX 77706-2409
Phone (409) 554-0545

Other names 1

  • Jennifer Rod Former name

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
686396TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Foot Specialists Inc CurrentSince Jul 17, 2021 Accepting new patients
Golden Triangle Interventional Pain Associates LLC CurrentSince May 1, 2024 Accepting new patients

Locations

6025 Metropolitan Dr
Ste 290
Beaumont, TX 77706
Phone (409) 554-0545

87 Interstate 10 N
Ste 221
Beaumont, TX 77707
Phone (409) 554-0545

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1184984130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DR STE 290",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062409",
            "telephone_number": "409-554-0545",
            "fax_number": "409-554-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 METROPOLITAN DR STE 290",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062409",
            "telephone_number": "409-554-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABORDE",
        "first_name": "JENNIFER",
        "credential": "MSN APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "686396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ROD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.