Individual provider Active NPI

Pierrette Toussaint, MD

  • General Practice Physician
  • Fort Worth, TX
National Provider Identifier
1396159240
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19004 Issued in PR
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

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008002276 TX Practitioner - General Practice 0749598852 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3062MNMDPhysical Medicine & Rehabilitation Physician
TPME7027FLMDGeneral Practice Physician
TW-00564KSMDGeneral Practice Physician
19004PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mescalero Indian Hospital CurrentSince Nov 25, 2019 Accepting new patients
US Health Dept of Health & Human Services CurrentSince Aug 10, 2015 Accepting new patients
U S Health Dept of Health & Human Services CurrentSince Aug 10, 2015 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.

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

Verify at the official NPI Registry.