Active NPI
Suzette Eppinette
- Gerontology Nurse Practitioner
- West Monroe, LA
National Provider Identifier
1245648385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP08002
- Practice address
- 102 Thomas Rd
Suite 103
West Monroe, LA 71291-7366 - Phone
- (318) 387-1946
- NPI assigned
- Jul 31, 2014
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP08002 | LA | Primary |
Addresses
Primary practice location
102 Thomas Rd
Suite 103
West Monroe, LA 71291-7366
Mailing address
102 Thomas Rd
Suite 103
West Monroe, LA 71291-7366
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1245648385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 THOMAS RD",
"address_2": "SUITE 103",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 THOMAS RD",
"address_2": "SUITE 103",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917366",
"telephone_number": "318-387-1946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPINETTE",
"first_name": "SUZETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "LA",
"license": "AP08002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.