Active NPI
Jessie Ruth Dunham
- Registered Nurse
- Lake Charles, LA
National Provider Identifier
1245144641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN130286
- Practice address
- 614 Esplanade St
Lake Charles, LA 70607-6308 - Phone
- (337) 478-1411
- Fax
- (337) 562-1489
- NPI assigned
- Oct 1, 2026
- Last updated
- Oct 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN130286 | LA | Primary |
Addresses
Primary practice location
614 Esplanade St
Lake Charles, LA 70607-6308
Mailing address
614 Esplanade St
Lake Charles, LA 70607-6308
Phone (337) 478-1411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1245144641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "614 ESPLANADE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706076308",
"telephone_number": "337-478-1411",
"fax_number": "337-562-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 ESPLANADE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706076308",
"telephone_number": "337-478-1411",
"fax_number": "337-562-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNHAM",
"first_name": "JESSIE",
"middle_name": "RUTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-10-01",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN130286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.