Active NPI
Jennifer Laborde, MSN APRN FNP-C
- Family Nurse Practitioner
- Beaumont, TX
National Provider Identifier
1184984130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 686396
- Practice address
- 6025 Metropolitan Dr Ste 290
Beaumont, TX 77706-2409 - Phone
- (409) 554-0545
- NPI assigned
- May 24, 2012
- Last updated
- Jul 9, 2021
- 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 |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 686396 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaumont Foot Specialists Inc | Current | Accepting new patients | |
| Golden Triangle Interventional Pain Associates LLC | Current | 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.
-
- Podiatrist
- Beaumont, TX
- NPI 1235240086
-
- Pain Medicine (Anesthesiology) Physician
- Beaumont, TX
- NPI 1386186369
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.