Active NPI
Jennifer Rudd McCann MD, LLC
- Obstetrics & Gynecology Physician
- Deridder, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- JENNIFER RUDD MCCANN MD, LLC
- Practice address
- 401 S Washington St
Deridder, LA 70634-4863 - Phone
- (337) 515-4537
- NPI assigned
- Aug 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer McCann, MD
- Title
- Owner
- Phone
- (337) 515-4537
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
401 S Washington St
Deridder, LA 70634-4863
Mailing address
401 S Washington St
Deridder, LA 70634-4863
Phone (337) 515-4537
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | mccann.wellness1@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2233236 | Jennifer Rudd McCann MD LLC | Certificate of waiver | Aug 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
401 S Washington St
Deridder, LA 70634
Phone (337) 515-4537
1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Deridder, LA
- NPI 1083816854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733097600000",
"number": "1346915261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S WASHINGTON ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706344863",
"telephone_number": "337-515-4537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S WASHINGTON ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706344863",
"telephone_number": "337-515-4537"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNIFER RUDD MCCANN MD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-12",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A",
"authorized_official_last_name": "MCCANN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "337-515-4537",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "mccann.wellness1@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "401 S Washington St",
"city": "Deridder",
"state": "LA",
"country_code": "US",
"postal_code": "706344863",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.