Individual provider Active NPI

Jeneen A Black-Turner, APRN

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1194027102
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06318 Issued in LA
Practice address
3414 Moss St
Suite F
Lafayette, LA 70507-6107
Phone
(337) 706-8986
Fax
(337) 706-8712
NPI assigned
Nov 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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 AP06318 LA Primary

Addresses

Primary practice location

3414 Moss St
Suite F
Lafayette, LA 70507-6107

Mailing address

3915 Darnall Rd
New Iberia, LA 70560-0459
Phone (337) 706-8986

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
I20110309000717 LA Practitioner - Nurse Practitioner 9537341748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coolidge Physician Services LLCGroup PAC ID 7113156035, 52 clinicians
Black-Smith TrioGroup PAC ID 1759635907, 3 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

3915 Darnall Rd
New Iberia, LA 70560-0459
Phone (337) 365-1305

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Black-Smith Trio Family CurrentSince Aug 21, 2018 Accepting new patients
Capital Health Medical Group PastSince Aug 21, 2018 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jblackturner1451735@direct.ochsner.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1290470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1194027102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 DARNALL RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705600459",
            "telephone_number": "337-706-8986",
            "fax_number": "337-706-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 MOSS ST",
            "address_2": "SUITE F",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705076107",
            "telephone_number": "337-706-8986",
            "fax_number": "337-706-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK-TURNER",
        "first_name": "JENEEN",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-23",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.