NPIMap

Individual provider Active NPI

Jennifer Flenniken Barrow, MD

  • Family Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1508252230
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
306578 Issued in LA
Practice address
1960 Tybee LN
Lake Charles, LA 70605-4173
Phone
(337) 421-0090
Fax
(337) 421-0015
NPI assigned
Apr 9, 2015
Last updated
Jan 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 306578 LA Primary

Addresses

Primary practice location

1960 Tybee LN
Lake Charles, LA 70605-4173

Mailing address

5613 Monarch Way
Lake Charles, LA 70607-0997
Phone (318) 455-5779

Other names 1

  • Jennifer Flenniken Former name

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
I20180814002682 LA Practitioner - Family Practice 9032498860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

277N Hwy 171
Suite 8
Lake Charles, LA 70611-5374
Phone (337) 312-0030

4201 Nelson Rd
Suite 100
Lake Charles, LA 70605-4117
Phone (337) 310-2273

501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400

600 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5727
Phone (337) 436-3813

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306578LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 21, 2019 Accepting new patients
Imperial Health, LLP Family Medicine CurrentSince Jan 20, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 21, 2019 Accepting new patients
C H Wilkinson Physician Network Family Medicine CurrentSince Aug 6, 2018 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Imperial Health LLP CurrentSince Jan 20, 2025 Accepting new patients
C H Wilkinson Physician Network CurrentSince Aug 6, 2018 Accepting new patients
Ochsner Clinic LLC Family Medicine Past Accepting new patients

Locations

1960 Tybee Ln
Lake Charles, LA 70605
Phone (337) 421-0090

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: jennifer.barrow@1288.direct.myezyaccess.com

Organizations & group practices 8

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 6

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": "1428537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1508252230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 MONARCH WAY",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706070997",
            "telephone_number": "318-455-5779",
            "fax_number": "337-421-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 TYBEE LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054173",
            "telephone_number": "337-421-0090",
            "fax_number": "337-421-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARROW",
        "first_name": "JENNIFER",
        "middle_name": "FLENNIKEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-09",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "306578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "FLENNIKEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.