Active NPI
Tracy Lynn Jagneaux
- Counselor
- Lafayette, LA
National Provider Identifier
1467978312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 106 Heymann Blvd
Lafayette, LA 70503-2322 - Phone
- (337) 504-4279
- NPI assigned
- Aug 22, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
106 Heymann Blvd
Lafayette, LA 70503-2322
Mailing address
106 Heymann Blvd
Lafayette, LA 70503-2322
Phone (337) 504-4279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1467978312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 HEYMANN BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032322",
"telephone_number": "337-504-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 HEYMANN BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032322",
"telephone_number": "337-504-4279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGNEAUX",
"first_name": "TRACY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, LA
- Taylor McHugh Jacobs, MS, CCC-SLP
- Donald Scott Jacobsen, OD
- Jacque F. Noel, III, M.D.
- Stephanie Jacquet
- Brooke Danielle Jagneaux, CIT
- Jay Pannathpur Jaikishen, MD
- Firooz Jalili, MD
- Shahed Masood Jameel, MD
- James a Pearce, DDS, a Professional Dental Corporation
- James C Bienvenu MD LLC (James C Bienvenu, MD)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.