Individual provider Active NPI

Joni Dianne Whitehead, FNP-C

  • Family Nurse Practitioner
  • Merryville, LA
National Provider Identifier
1477523959
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP03569 Issued in LA
Practice address
567 Walker St
Merryville, LA 70653-3040
Phone
(337) 825-1728
Fax
(337) 825-1229
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 78494-3569 LA
Family Nurse Practitioner 363LF0000X 673697 TX
Family Nurse Practitioner 363LF0000X AP03569 LA Primary

Addresses

Primary practice location

567 Walker St
Merryville, LA 70653-3040

Mailing address

567 Walker St
Merryville, LA 70653-3040
Phone (337) 825-1728

Other practice location 1

298 Nolan Trace Pkway
Leesville, LA 71446
Phone (337) 392-0110

Other practice location 2

1050 N Robinson St
Many, LA 71449-3536
Phone (318) 256-8150

Other practice location 3

806 Jefferson Ter
New Iberia, LA 70560-5727
Phone (337) 365-4945

Other identifiers 4

IdentifierTypeStateIssuer
1432385MedicaidLA
8N8278OtherBLUE CROSS/BLUE SHIELD
P00117217OtherRAILROAD MEDICARE
172875001MedicaidTX

Other names 1

  • Mrs. Joni Dianne Lampman Former name

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
I20100723000759 LA Practitioner - Nurse Practitioner 2860461357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iberia Comprehensive Community Health Center,Inc.Group PAC ID 6204817828, 35 clinicians

Practice addresses (Care Compare)

567 Walker St
Merryville, LA 70653-3040
Phone (318) 256-8150

806 Jefferson Ter
New Iberia, LA 70560-5727
Phone 3373654945112

Hospital & facility affiliations

  • Allegiance Home Health of Southwest Louisiana, LLC Home health agency, Deridder, LA, CCN 197520
  • Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78494-3569LAMDFamily Nurse Practitioner
673697TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Comprehensive Community Health Center,Inc. Current Accepting new patients
Iberia Comprehensive Community Health Center,Inc. CurrentSince Mar 1, 2015 Accepting new patients
Iberia Comprehensive Community Health Center, Inc. CurrentSince Mar 1, 2015 Accepting new patients
Iberia Comprehensive Community Health Center, Inc. Past Accepting new patients
Emergency Health Services Associates, P.a. Past Accepting new patients

Locations

1009 Charity St
Abbeville, LA 70510
Phone (337) 893-3443

200 W 5th St
Deridder, LA 70634
Phone (337) 221-1417

1004 Surrey St
Lafayette, LA 70501
Phone (337) 456-6768

1002 12th St
Lafayette, LA 70501
Phone (337) 534-0107

298 Nolan Trce
Leesville, LA 71446
Phone (337) 392-0110

1050 N Robinson St
Many, LA 71449
Phone (318) 256-8150

567 Walker St
Merryville, LA 70653
Phone (337) 365-4945

806 Jefferson Ter
New Iberia, LA 70560
Phone (337) 365-4945

317 Dernier St
Saint Martinville, LA 70582
Phone (337) 342-2566

Interoperability endpoints

  • Direct secure messaging: joni.whitehead@icchc.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1477523959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 WALKER ST",
            "city": "MERRYVILLE",
            "state": "LA",
            "postal_code": "706533040",
            "telephone_number": "337-825-1728",
            "fax_number": "337-825-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 WALKER ST",
            "city": "MERRYVILLE",
            "state": "LA",
            "postal_code": "706533040",
            "telephone_number": "337-825-1728",
            "fax_number": "337-825-1229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "298 NOLAN TRACE PKWAY",
            "address_purpose": "LOCATION",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "71446",
            "country_code": "US",
            "telephone_number": "337-392-0110",
            "fax_number": "337-392-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 N Robinson St",
            "address_purpose": "LOCATION",
            "city": "Many",
            "state": "LA",
            "postal_code": "714493536",
            "country_code": "US",
            "telephone_number": "318-256-8150",
            "fax_number": "318-256-8136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 Jefferson Ter",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705605727",
            "country_code": "US",
            "telephone_number": "337-365-4945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "JONI",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "78494-3569",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "673697",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP03569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1432385",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "8N8278",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00117217",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172875001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONI",
            "last_name": "LAMPMAN",
            "middle_name": "DIANNE",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merryville, LA

Sources for this page

Verify at the official NPI Registry.