Active NPI
Jeffrey Delaune
- Family Medicine Physician
- Gonzales, LA
National Provider Identifier
1467825240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 546061
- Practice address
- 12320-1 La Hwy. 44
Gonzales, LA 70737 - Phone
- (225) 647-5767
- Fax
- (225) 647-4761
- NPI assigned
- Nov 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 546061 | LA | Primary |
Addresses
Primary practice location
12320-1 La Hwy. 44
Gonzales, LA 70737
Mailing address
12320 1 La Hwy 44
Gonzales, LA 70737
Phone (225) 647-5767
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 546061 | LA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1467825240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12320 1 LA HWY 44",
"city": "GONZALES",
"state": "LA",
"postal_code": "70737",
"telephone_number": "225-647-5767",
"fax_number": "225-647-4761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12320-1 LA HWY. 44",
"city": "GONZALES",
"state": "LA",
"postal_code": "70737",
"telephone_number": "225-647-5767",
"fax_number": "225-647-4761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAUNE",
"first_name": "JEFFREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-03",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "546061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.