Individual provider Active NPI

Julie E Thorn, FNP

  • Family Nurse Practitioner
  • Deridder, LA
National Provider Identifier
1194334433
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213743 Issued in LA
Practice address
19503 Lake Charles Hwy Ste B
Deridder, LA 70634-2322
Phone
(337) 221-0337
Fax
(337) 221-0367
NPI assigned
Jul 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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 213743 LA Primary

Addresses

Primary practice location

19503 Lake Charles Hwy Ste B
Deridder, LA 70634-2322

Mailing address

19503 Lake Charles Hwy Ste B
Deridder, LA 70634-2322
Phone (337) 221-0337

Other identifiers 2

IdentifierTypeStateIssuer
5799107599OtherLANATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINERS
3158833MedicaidLA

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
I20200819003662 LA Practitioner - Nurse Practitioner 6305262486 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

242 Sam Houston Jones Pkwy
Lake Charles, LA 70611-5603
Phone (337) 905-4000

277 Hwy 171
Suite 10
Lake Charles, LA 70611-5628
Phone (337) 217-7762

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health LLP CurrentSince Sep 22, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Aug 13, 2020 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Aug 13, 2020 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Sep 22, 2025 Accepting new patients
Allegiance Medical Clinic of Dequincy LLC CurrentSince Jan 3, 2023 Accepting new patients
Imperial Health, LLP CurrentSince Sep 22, 2025 Accepting new patients
Hanks Health and Wellness, LLC Family PastSince Feb 1, 2024 Accepting new patients

Locations

601 W 4th St
Dequincy, LA 70633
Phone (337) 786-6161

1017 N Pine St
Deridder, LA 70634
Phone (337) 202-4101

4201 Nelson Rd
Ste 100
Lake Charles, LA 70605
Phone (337) 310-2273

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

277 N Highway 171
Ste 10
Lake Charles, LA 70611
Phone (337) 217-7762

1121 Polk St
Mansfield, LA 71052
Phone (318) 575-2143

242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 905-4000

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

Organizations & group practices 9

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1194334433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19503 LAKE CHARLES HWY STE B",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342322",
            "telephone_number": "337-221-0337",
            "fax_number": "337-221-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19503 LAKE CHARLES HWY STE B",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706342322",
            "telephone_number": "337-221-0337",
            "fax_number": "337-221-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORN",
        "first_name": "JULIE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINERS",
            "identifier": "5799107599",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3158833",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.