Jessica Koon, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08359 Issued in LA

Practice address

100 Medical Center Dr
Slidell, LA 70461-5520

Phone

(985) 875-2820

Fax

(985) 875-2882

NPI assigned

Jul 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Roudolfich Other name

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkoon4732@direct.ochsner.org

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.

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• Ochsner Clinic LLC

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346625175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615520",
            "telephone_number": "985-875-2820",
            "fax_number": "985-875-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615520",
            "telephone_number": "985-875-2820",
            "fax_number": "985-875-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOON",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "ROUDOLFICH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deborah L. Knight, LAT
• Lynnette Knoten
• Kimberly Louann Kolaprath
• James Charles Konen III, LMSW
• Sasha Scott Konrad, PA-C
• Aubrey Larae Koons, RN
• Georgi A Kovachev, MD
• Savannah Jo Krause, MD
• Cheryl L Krewsky, NP
• Charles W Krieger Jr., MD

• Family Nurse Practitioner in Slidell, LA
• Providers in Slidell, 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 Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.