Active NPI
Pierrette Toussaint, MD
- General Practice Physician
- Fort Worth, TX
National Provider Identifier
1396159240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 19004
- Practice address
- PO Box 27066
Fort Worth, TX 76127-0066 - Phone
- (817) 782-4000
- NPI assigned
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 3062 | MN | |
| General Practice Physician | 208D00000X | TW-00564 | KS | |
| General Practice Physician | 208D00000X | TPME7027 | FL | |
| General Practice Physician | 208D00000X | 19004 | PR | Primary |
Addresses
Primary practice location
PO Box 27066
Fort Worth, TX 76127-0066
Mailing address
1614 Birch St
Mansfield, TX 76063-4467
Phone (954) 446-4295
Other practice location 1
107 H. Street
Verne E. Gibbs Clinic
Poplar, MT 59255
Phone (406) 768-3491
Other practice location 2
318 Abalone Loop
Mescalero, NM 88340-9213
Phone (575) 464-4441
Other names 1
- Pierrette Jean
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3062 | MN | MD | Physical Medicine & Rehabilitation Physician |
| TPME7027 | FL | MD | General Practice Physician |
| TW-00564 | KS | MD | General Practice Physician |
| 19004 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mescalero Indian Hospital | Current | Accepting new patients | |
| US Health Dept of Health & Human Services | Current | Accepting new patients | |
| U S Health Dept of Health & Human Services | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
669 Agency Main St
Harlem, MT 59526
Phone (406) 353-3100
107 H St
Poplar, MT 59255
Phone (406) 738-3491
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 and National Provider Directory roles.
-
- Critical Access Hospital
- Lodge Grass, MT
- NPI 1750410395
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1396159240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 BIRCH ST",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760634467",
"telephone_number": "954-446-4295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 27066",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761270066",
"telephone_number": "817-782-4000"
}
],
"practiceLocations": [
{
"address_1": "107 H. Street",
"address_2": "Verne E. Gibbs Clinic",
"address_purpose": "LOCATION",
"city": "Poplar",
"state": "MT",
"postal_code": "59255",
"country_code": "US",
"telephone_number": "406-768-3491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "318 Abalone Loop",
"address_purpose": "LOCATION",
"city": "Mescalero",
"state": "NM",
"postal_code": "883409213",
"country_code": "US",
"telephone_number": "575-464-4441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOUSSAINT",
"first_name": "PIERRETTE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MN",
"license": "3062",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KS",
"license": "TW-00564",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "TPME7027",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "19004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PIERRETTE",
"last_name": "JEAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.