NPIMap

Individual provider Active NPI

Jamie Averett Klumpp, APRN

  • Primary Care Nurse Practitioner
  • Sulphur, LA
National Provider Identifier
1386066595
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP07528 Issued in LA
Practice address
3501 Maplewood Dr
Sulphur, LA 70663-6209
Phone
(337) 533-8913
NPI assigned
Jan 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07528 LA
Primary Care Nurse Practitioner 363LP2300X AP07528 LA Primary

Addresses

Primary practice location

3501 Maplewood Dr
Sulphur, LA 70663-6209

Mailing address

3501 Maplewood Dr
Sulphur, LA 70663-6209

Other identifiers 1

IdentifierTypeStateIssuer
2353900MedicaidLA

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
I20140318001351 LA Practitioner - Nurse Practitioner 3274764105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3501 Maplewood Dr
Sulphur, LA 70663-6209
Phone (337) 476-5071

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07528LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tors Medical Clinic, LLC CurrentSince Jul 16, 2023 Accepting new patients
Sulphur Psychiatry LLC CurrentSince Jun 21, 2022 Accepting new patients
Tors Medical Clinic LLC Primary Care CurrentSince Sep 1, 2021 Accepting new patients

Locations

921 1st Ave
Sulphur, LA 70663
Phone (337) 527-2491

3501 Maplewood Dr
Sulphur, LA 70663
Phone (337) 476-5071

3920 Maplewood Dr
Sulphur, LA 70663
Phone (337) 476-5071

Organizations & group practices 3

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

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": "1389139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1386066595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 MAPLEWOOD DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 MAPLEWOOD DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706636209",
            "telephone_number": "337-533-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUMPP",
        "first_name": "JAMIE",
        "middle_name": "AVERETT",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-08",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07528",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP07528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2353900",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.