Individual provider Active NPI

Jeremy Terro, AGACNP

  • Acute Care Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1568901338
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP09191 Issued in LA
Practice address
136 Hospital Dr. Ste 100
Lafayette, LA 70503
Phone
(337) 289-8282
Fax
(337) 289-8283
NPI assigned
Feb 14, 2017
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP09191 LA Primary

Addresses

Primary practice location

136 Hospital Dr. Ste 100
Lafayette, LA 70503

Mailing address

PO Box 919229
Dallas, TX 75391-9229
Phone (337) 289-8282

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
I20170406002787 LA Practitioner - Nurse Practitioner 3375829260 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

4212 W Congress St
Family Health Plaza
Lafayette, LA 70506-6765
Phone (337) 216-9018

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09191LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Feb 19, 2017 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Sep 1, 2020 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Feb 19, 2017 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Sep 1, 2020 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Locations

136 Hospital Dr
Ste 100
Lafayette, LA 70503
Phone (337) 289-8282

136 Hospital Dr
Ste 201
Lafayette, LA 70503
Phone (337) 289-8282

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

900 E Saint Mary Blvd
Ste 106
Lafayette, LA 70503
Phone (337) 289-8861

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

4212 W Congress St
Lafayette, LA 70506
Phone (337) 216-9018

Interoperability endpoints

  • Direct secure messaging: jterro1443406@direct.ochsner.org

Organizations & group practices 6

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 4

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": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1568901338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919229",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753919229",
            "telephone_number": "337-289-8282",
            "fax_number": "337-571-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 HOSPITAL DR. STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-289-8282",
            "fax_number": "337-289-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRO",
        "first_name": "JEREMY",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "AP09191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.