Individual provider Active NPI

Jessica Dale Rodrigue, FNP

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1407554710
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229222 Issued in LA
Practice address
4421 Conlin St
Metairie, LA 70006-2154
Phone
(504) 930-4545
NPI assigned
Feb 16, 2023
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 229222 LA Primary

Addresses

Primary practice location

4421 Conlin St
Metairie, LA 70006-2154

Mailing address

2500 Cavalier Dr
Denham Springs, LA 70726-5408
Phone (225) 715-2107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230327000019 LA Practitioner - Nurse Practitioner 4981078334 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulfsouth Hospital Medicine LLCGroup PAC ID 6901151984, 14 clinicians
SLR Holdings LLCGroup PAC ID 8426396144, 3 clinicians
Salmeron Medical Care, LLCGroup PAC ID 3870772676, 5 clinicians

Practice addresses (Care Compare)

1970 N Hwy 190
Covington, LA 70433-5364
Phone (985) 867-8585

1970 N Hwy 190
SNL Health Care
Covington, LA 70433-3370
Phone (985) 867-8585

4421 Conlin St
Suite 101
Metairie, LA 70006-2145
Phone (504) 930-4545

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SLR Holdings LLC CurrentSince Apr 20, 2023 Accepting new patients
Gulfsouth Hospital Medicine LLC CurrentSince Sep 1, 2025 Accepting new patients
Salmeron Medical Care, LLC CurrentSince Mar 1, 2023 Accepting new patients
SLR Holdings LLC Family CurrentSince Apr 20, 2023 Accepting new patients

Locations

1970 N Highway 190
Covington, LA 70433
Phone (985) 400-5988

4421 Conlin St
Ste 101
Metairie, LA 70006
Phone (504) 455-2002

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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1407554710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CAVALIER DR",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707265408",
            "telephone_number": "225-715-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4421 CONLIN ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062154",
            "telephone_number": "504-930-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUE",
        "first_name": "JESSICA",
        "middle_name": "DALE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "229222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.