Active NPI
Jennifer Stevens Juneau, FNP
- Family Nurse Practitioner
- Ruston, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP06980
- Practice address
- 902 Sherwood Dr
Ruston, LA 71270-2157 - Phone
- (318) 251-3774
- Fax
- (318) 251-0442
- NPI assigned
- Aug 10, 2012
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP06980 | LA | Primary |
Addresses
Primary practice location
902 Sherwood Dr
Ruston, LA 71270-2157
Mailing address
902 Sherwood Dr
Ruston, LA 71270-2157
Phone (318) 251-3774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3845 Elm St
Choudrant, LA 71227-3017
Phone (318) 695-9200
Hospital & facility affiliations
- Magnolia Home Health Care, Inc
- Northern Louisiana Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choudrant Primary Care LLC | Family | Current | Accepting new patients |
| Ralph a Brooks, M.D. LLC | Past | Accepting new patients |
Locations
3845 Elm St
Ste 3
Choudrant, LA 71227
Phone (318) 695-9200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBIHDD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Choudrant Primary Care LLC | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) W-2 Managing Employee (100%) |
Sep 19, 2024 Sep 19, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rural Health Clinic/Center
- Choudrant, LA
- NPI 1962267922
5% Or Greater Direct Ownership Interest, W-2 Managing Employee
Organizations & group practices 2
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.
-
- Dermatology Physician
- Fort Worth, TX
- NPI 1437550613
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ruston, LA
- NPI 1962024026
-
- Home Health Agency
- Arcadia, LA
- NPI 1245348317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1285981068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 SHERWOOD DR",
"city": "RUSTON",
"state": "LA",
"postal_code": "712702157",
"telephone_number": "318-251-3774",
"fax_number": "318-251-0442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 SHERWOOD DR",
"city": "RUSTON",
"state": "LA",
"postal_code": "712702157",
"telephone_number": "318-251-3774",
"fax_number": "318-251-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNEAU",
"first_name": "JENNIFER",
"middle_name": "STEVENS",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP06980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.