Active NPI
West Jefferson Medical Center
- Family Nurse Practitioner
- Marrero, LA
National Provider Identifier
1508789421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WEST JEFFERSON MEDICAL CENTER
- Practice address
- 1111 Medical Center Blvd
Marrero, LA 70072-3151 - Phone
- (504) 349-1570
- Fax
- (504) 349-1448
- NPI assigned
- Jul 30, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nicole Autin Chiasson, FNP
- Title
- FNP, Interventional Radiology
- Phone
- (504) 349-1570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1111 Medical Center Blvd
Marrero, LA 70072-3151
Mailing address
1111 Medical Center Blvd
Marrero, LA 70072-3151
Phone (504) 349-1570
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2267823 | West Jefferson Medical Center S450 | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1508789421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-349-1570",
"fax_number": "504-349-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-349-1570",
"fax_number": "504-349-1448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST JEFFERSON MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-30",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "CHIASSON",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "AUTIN",
"authorized_official_title_or_position": "FNP, INTERVENTIONAL RADIOLOGY",
"authorized_official_telephone_number": "504-349-1570",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.