Individual provider Active NPI

Jo Ann Stanley Meche, NP

  • Family Nurse Practitioner
  • Bastrop, LA
National Provider Identifier
1275583288
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04115 Issued in LA
Practice address
355 W Hickory Ave
Bastrop, LA 71220-4441
Phone
(318) 281-4450
Fax
(318) 281-4464
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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 AP04115 LA Primary

Addresses

Primary practice location

355 W Hickory Ave
Bastrop, LA 71220-4441

Mailing address

355 W Hickory Ave
Bastrop, LA 71220-4441
Phone (318) 281-4450

Other identifiers 1

IdentifierTypeStateIssuer
1147061MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04115LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sterlington Critical Access Hospital L.L.C CurrentSince Apr 11, 2019 Accepting new patients
Sterlington Critical Access Hospital L.L.C Family CurrentSince Nov 28, 2017 Accepting new patients
Sterlington Critical Access Hospital, L.L.C. CurrentSince Nov 28, 2017 Accepting new patients

Locations

370 W Hickory Ave
#B
Bastrop, LA 71220
Phone (318) 614-0592

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

355 W Hickory Ave
Bastrop, LA 71220
Phone (318) 281-4450

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1275583288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W HICKORY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204441",
            "telephone_number": "318-281-4450",
            "fax_number": "318-281-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W HICKORY AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204441",
            "telephone_number": "318-281-4450",
            "fax_number": "318-281-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHE",
        "first_name": "JO ANN",
        "middle_name": "STANLEY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1147061",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.