Southeast Family Medical Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHEAST FAMILY MEDICAL PRACTICE

Practice address

1320 N Morrison Blvd Ste 125
Hammond, LA 70401-2242

Phone

(985) 402-3762

Fax

(985) 256-2591

NPI assigned

Feb 25, 2020

Organization subpart

No

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

Authorized official

Name

Jazmin EscalanteNPI 1982112462

Title

Nurse Practitioner

Phone

(985) 402-3762

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jazmin Escalante, FNP

  • Family Nurse Practitioner
  • Hammond, LA
  • NPI 1982112462
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1346874732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 N MORRISON BLVD STE 125",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012242",
            "telephone_number": "985-402-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 N MORRISON BLVD STE 125",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704012242",
            "telephone_number": "985-402-3762",
            "fax_number": "985-256-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST FAMILY MEDICAL PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "ESCALANTE",
        "authorized_official_first_name": "JAZMIN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "985-402-3762"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeast Community Health Systems (Southeast Community Health Systems @ Albany)
• Southeast Community Health Systems
• Southeast Community Health Systems
• Southeast Community Health Systems
• Southeast Community Health Systems Pharmacy
• Southeast Louisiana Ahec Foundation, Inc
• Southeast Louisiana Area Health Education Foundation, Inc.
• Southeast Louisiana Veterans Health Care System (Hammond Outpatient Clinic)
• Southeast Menatal Health
• Southeast Mental Health LLC

• Family Medicine Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.