Active NPI
TKJ Healthcare LLC
- Family Nurse Practitioner
- Kentwood, LA
National Provider Identifier
1386176527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP07453
- Legal business name
- TKJ HEALTHCARE LLC
- Practice address
- 719 Avenue G
Kentwood, LA 70444-2601 - Phone
- (504) 451-7066
- NPI assigned
- Mar 28, 2017
- Last updated
- Mar 28, 2017
- 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
- Mrs. Tara Kempton-Jerez, NP
- Title
- Sole Member
- Phone
- (504) 451-7066
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP07453 | LA | Primary |
Addresses
Primary practice location
719 Avenue G
Kentwood, LA 70444-2601
Mailing address
585 E Cypress St
Ponchatoula, LA 70454-2737
Phone (504) 451-7066
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Ponchatoula, LA
- NPI 1376977413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490659200000",
"number": "1386176527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 E CYPRESS ST",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704542737",
"telephone_number": "504-451-7066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 AVENUE G",
"city": "KENTWOOD",
"state": "LA",
"postal_code": "704442601",
"telephone_number": "504-451-7066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TKJ HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A",
"authorized_official_last_name": "KEMPTON-JEREZ",
"authorized_official_first_name": "TARA",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "504-451-7066",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP07453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kentwood, LA
- Southeast Community Health Systems
- Southeast Community Health Systems Pharmacy Kentwood
- Anthony Spitale
- Jennifer St. Romain, CPNP
- Bryan D. Tate Jr., FNP-C
- Troy M. Verges DDS Inc.
- Terry Scott Turner, DDS
- Wal-Mart Stores East LP (Walmart Pharmacy)
- Daryl Marshall Westmoreland Sr., D.D.S.
- Alton L White, R. PH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.