Jimanesha Marie Carmouche, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

214903 Issued in LA

Practice address

1211 Coolidge Blvd Ste 100
Lafayette, LA 70503-2638

Phone

(337) 289-8400

NPI assigned

Jul 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Referral ServiceGroup PAC ID 7911801410, 2,728 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Texas M D Anderson Cancer Center Hospital, Houston, TX, CCN 450076

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Physicians Referral Service

  • Multi-Specialty Clinic/Center
  • Houston, TX
  • NPI 1073574810
  Medicare reassignment Care Compare group NPD
• Lafayette General Medical Center Inc.

  • Cardiovascular Disease Physician
  • Lafayette, LA
  • NPI 1649408832
  Medicare reassignment NPD
• Lafayette Health Ventures Inc

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1417986092
  Medicare reassignment NPD
• University Hospital & Clinics, Inc.

  • Anesthesiology Physician
  • Lafayette, LA
  • NPI 1639518087
  Medicare reassignment NPD
• Lafayette General Medical Center Inc.

  • Community/Retail Pharmacy
  • Lafayette, LA
  • NPI 1023638715
  NPD
• Lafayette Health Ventures Inc

  • Anesthesiology Physician
  • Jennings, LA
  • NPI 1063124568
  NPD
• Lafayette Health Ventures, Inc

  • Hematology & Oncology Physician
  • Lafayette, LA
  • NPI 1972835130
  NPD
• University Hospital & Clinics Inc

  • Community/Retail Pharmacy
  • Lafayette, LA
  • NPI 1740739044
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of Texas M. D. Anderson Cancer Center

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1174582050
  Care Compare affiliation

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1285243642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 BRIDGETOWNE LN",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705178124",
            "telephone_number": "337-258-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032638",
            "telephone_number": "337-289-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309 E Main St",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705604046",
            "country_code": "US",
            "telephone_number": "337-608-9902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARMOUCHE",
        "first_name": "JIMANESHA",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2023-11-27",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "214903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jcarmouche@lgh.org",
            "affiliation": "Y",
            "affiliationName": "Lafayette Health Ventures, Inc",
            "address_1": "1211 Coolidge Blvd Ste 100",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705032638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmichael'S Cashway Pharmacy, Inc.
• Carmichael'S Pharmacy
• Chasity Carmouche
• Christine Carmouche
• Debra Brown Carmouche
• Joshua Carmouche
• Linda A. Carmouche, LCSW
• Melynda Alexandra Carmouche
• Joel Carney, MD
• Carolyn Van OD & Associates, LLC

• Family Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.