NPIMap

Individual provider Active NPI

Jennifer Trombatore, FNP

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1346893732
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206395 Issued in LA
Practice address
4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183
Phone
(337) 480-7999
Fax
(337) 602-6358
NPI assigned
Jul 24, 2019
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 206395 LA Primary

Addresses

Primary practice location

4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183

Mailing address

PO Box 123594 Dept 3594
Dallas, TX 75312-0001
Phone (337) 494-2921

Other practice location 1

4100 Ryan St
Lake Charles, LA 70605-4510
Phone (504) 831-3112

Other names 1

  • Dani Trombatore Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108000518 LA Practitioner - Nurse Practitioner 3173955366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMG Nelson Rd LLCGroup PAC ID 9032407663, 5 clinicians

Practice addresses (Care Compare)

4345 Nelson Rd
Suite 102
Lake Charles, LA 70605-4183
Phone (337) 480-7900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
206395LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 30, 2023 Accepting new patients
MMG Nelson Rd LLC CurrentSince May 1, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 30, 2023 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Lake Charles Medical Services, Inc PastSince Jun 12, 2022 Accepting new patients

Locations

4100 Ryan St
Lake Charles, LA 70605
Phone (337) 415-4888

4345 Nelson Rd
Ste 102
Lake Charles, LA 70605
Phone (337) 439-2020

900 Magazine St
New Orleans, LA 70130
Phone (504) 309-0534

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: jtrombatore5287925@direct.casso.us.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1346893732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123594 DEPT 3594",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4345 NELSON RD STE 102",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054183",
            "telephone_number": "337-480-7999",
            "fax_number": "337-602-6358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Ryan St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706054510",
            "country_code": "US",
            "telephone_number": "504-831-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TROMBATORE",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANI",
            "last_name": "TROMBATORE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.