Individual provider Active NPI

Jennifer Joyce Ingolia

  • Registered Dietitian
  • New Iberia, LA
National Provider Identifier
1366335770
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
3440 Issued in LA
Practice address
806 Jefferson Ter
New Iberia, LA 70560-5727
Phone
(337) 365-4945
NPI assigned
Jun 3, 2025
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 3440 LA Primary

Addresses

Primary practice location

806 Jefferson Ter
New Iberia, LA 70560-5727

Mailing address

1630 Rue Du Belier Apt 1502
Lafayette, LA 70506-6561
Phone (803) 280-5045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819004397 LA Practitioner - Registered Dietitian Or Nutrition Professional 9830698455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1004 Surrey St
Suite 1
Lafayette, LA 70501-6143
Phone (337) 365-4945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3440LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Comprehensive Community Health Center,Inc. Current Accepting new patients
Iberia Comprehensive Community Health Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Iberia Comprehensive Community Health Center, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Iberia Comprehensive Community Health Center, Inc. Past Accepting new patients

Locations

1009 Charity St
Abbeville, LA 70510
Phone (337) 893-3443

1004 Surrey St
Lafayette, LA 70501
Phone (337) 456-6768

806 Jefferson Ter
New Iberia, LA 70560
Phone (337) 365-4945

317 Dernier St
Saint Martinville, LA 70582
Phone (337) 342-2566

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1366335770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 RUE DU BELIER APT 1502",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066561",
            "telephone_number": "803-280-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 JEFFERSON TER",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605727",
            "telephone_number": "337-365-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGOLIA",
        "first_name": "JENNIFER",
        "middle_name": "JOYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "LA",
            "license": "3440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.