NPIMap

Individual provider Active NPI

Jessica Babineaux, M.D.

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1497940209
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
199992 Issued in LA
Practice address
9456 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2883
Phone
(225) 325-3596
Fax
(225) 224-6241
NPI assigned
Sep 14, 2007
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 199992 LA Primary

Addresses

Primary practice location

9456 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2883

Mailing address

9456 Jefferson Hwy Ste a
Baton Rouge, LA 70809-2883
Phone (225) 325-3596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071029000601 LA Practitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 5698862274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Diagnostic Monitoring, LLCGroup PAC ID 5698939841, 7 clinicians

Practice addresses (Care Compare)

106 Amaryllis Dr
Lafayette, LA 70503-3215
Phone (337) 406-0883

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
199992LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Diagnostic Monitoring, LLC Specialist CurrentSince May 1, 2012 Accepting new patients
Quantum Laboratories LLC Past Accepting new patients
Neuromedical Center Specialist Past Accepting new patients

Locations

106 Amaryllis Dr
Lafayette, LA 70503
Phone (337) 406-0883

Organizations & group practices 3

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.

Hospital & facility affiliations 11

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": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1497940209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9456 JEFFERSON HWY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092883",
            "telephone_number": "225-325-3596",
            "fax_number": "252-246-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9456 JEFFERSON HWY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092883",
            "telephone_number": "225-325-3596",
            "fax_number": "225-224-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABINEAUX",
        "first_name": "JESSICA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-14",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "199992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.