Active NPI
St. Joseph's Clinic of Louisiana
- Family Medicine Physician
- Jeanerette, LA
National Provider Identifier
1437042959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ST. JOSEPH'S CLINIC OF LOUISIANA
- Practice address
- 1409 Church St
Jeanerette, LA 70544-4407 - Phone
- (337) 276-6018
- Fax
- (337) 901-5805
- NPI assigned
- Jun 2, 2025
- Last updated
- Aug 28, 2025
- 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
- Antoinette Rabenaldt
- Title
- Credentialing Coordinator
- Phone
- (337) 330-2576
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1409 Church St
Jeanerette, LA 70544-4407
Mailing address
302 Hacker St
New Iberia, LA 70560-4508
Phone (337) 330-2576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2325904 | St Joseph's Clinic of Louisiana | Certificate of waiver | Jun 22, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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
- Jeanerette, LA
- NPI 1255377313
-
- Emergency Medicine Physician
- Houma, LA
- NPI 1770532236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1437042959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 HACKER ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604508",
"telephone_number": "337-330-2576",
"fax_number": "337-321-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 CHURCH ST",
"city": "JEANERETTE",
"state": "LA",
"postal_code": "705444407",
"telephone_number": "337-276-6018",
"fax_number": "337-901-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOSEPH'S CLINIC OF LOUISIANA",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-02",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "RABENALDT",
"authorized_official_first_name": "ANTOINETTE",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "337-330-2576"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jeanerette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.