Jennifer C Fabre, ANP

Key facts

NPI

1285800698

Entity type

Individual (NPI type 1)

Primary specialty

Primary Care Nurse Practitioner 363LP2300X

License

AP05474 (LA)

Practice address

1115 Weber St
Franklin, LA 70538-4124

Phone

(337) 828-2550

Fax

(337) 355-2335

NPI assigned

May 6, 2008

Sex

Female

Sole proprietor

No

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.

• Teche Action Board Inc Federally Qualified Health Center (FQHC) · Franklin, LA · NPI 1174579262
  Medicare reassignment NPD LA
• Teche Action Board, Inc. Federally Qualified Health Center (FQHC) · Houma, LA · NPI 1770308736
  NPD
• Teche Action Board Inc Federally Qualified Health Center (FQHC) · Morgan City, LA · NPI 1124307566
  NPD (past)
• Teche Action Board, Inc. Federally Qualified Health Center (FQHC) · Houma, LA · NPI 1215974019
  NPD (past)
• Teche Action Board, Inc. Federally Qualified Health Center (FQHC) · Reserve, LA · NPI 1255788428
  NPD (past)
• Teche Action Board, Inc. Federally Qualified Health Center (FQHC) · Thibodaux, LA · NPI 1356767420
  NPD (past)
• Teche Action Board, Inc. Federally Qualified Health Center (FQHC) · Vacherie, LA · NPI 1649914763
  NPD (past)
• Teche Action Board, Inc. Federally Qualified Health Center (FQHC) · Houma, LA · NPI 1659319135
  NPD (past)
• Teche Action Board, Inc. Federally Qualified Health Center (FQHC) · Gramercy, LA · NPI 1801433883
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 17, 2022.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1285800698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 WEBER ST",
            "city": "FRANKLIN",
            "state": "LA",
            "postal_code": "705384124",
            "telephone_number": "337-828-2550",
            "fax_number": "337-355-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABRE",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP05474",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP05474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1140988",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Baley Marie Durocher
• Cole Edwards
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• Eden Desiree Etcheverria, PA
• Darrell Ray Everhart, DC
• Laura Faucheux, RDN, LDN
• Ferguson Abundant Living Pca LLC
• Ferguson Abundant Living Transportation LLC
• Benea Fletcher
• Natalyn Sonnier Fontenot, PA-C

All providers in Franklin, LA · Primary Care Nurse Practitioner in Louisiana