Individual provider Active NPI

Caroline Tracy Mire Jodon

  • Student in an Organized Health Care Education/Training Program
  • Scott, LA
National Provider Identifier
1356280838
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
303 Sylvia Loop
Scott, LA 70583-4022
Phone
(832) 331-0220
NPI assigned
Mar 27, 2026
Last updated
Mar 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

303 Sylvia Loop
Scott, LA 70583-4022

Mailing address

303 Sylvia Loop
Scott, LA 70583-4022
Phone (832) 331-0220

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260610001580 LA Order and Referring Only - Family PracticePractitioner - Family Practice 3173094133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1356280838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 SYLVIA LOOP",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705834022",
            "telephone_number": "832-331-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 SYLVIA LOOP",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705834022",
            "telephone_number": "832-331-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRE JODON",
        "first_name": "CAROLINE",
        "middle_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott, LA

Sources for this page

Verify at the official NPI Registry.