Individual provider Active NPI

Jennifer Lim, MD

  • Pediatrics Physician
  • Metairie, LA
National Provider Identifier
1578142121
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
340909 Issued in LA
Practice address
4500 Clearview Pkwy
Metairie, LA 70006-2371
Phone
(504) 398-7213
Fax
(504) 398-7213
NPI assigned
Apr 2, 2021
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 340909 LA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4500 Clearview Pkwy
Metairie, LA 70006-2371

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429

Other practice location 1

13100 River Rd
Destrehan, LA 70047-5219
Phone (504) 842-3900

Other practice location 2

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 391-7337

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240921000377 LA Practitioner - Pediatric Medicine 6305387002 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
340909LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 19, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 19, 2024 Accepting new patients
Ochsner Clinic LLC Single Specialty Current Accepting new patients

Locations

13100 River Rd
Destrehan, LA 70047
Phone (504) 701-3652

13100 River Rd
Ste 250
Destrehan, LA 70047
Phone (985) 764-6036

4500 Clearview Pkwy
Metairie, LA 70006
Phone (504) 246-1302

4901 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 836-9820

1514 Jefferson Hwy
New Orleans, LA 70121

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

9605 Jefferson Hwy
River Ridge, LA 70123
Phone (504) 738-1604

Interoperability endpoints

  • Direct secure messaging: jlim2303495@direct.ochsner.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1578142121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 CLEARVIEW PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062371",
            "telephone_number": "504-398-7213",
            "fax_number": "504-398-7213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13100 River Rd",
            "address_purpose": "LOCATION",
            "city": "Destrehan",
            "state": "LA",
            "postal_code": "700475219",
            "country_code": "US",
            "telephone_number": "504-842-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701212429",
            "country_code": "US",
            "telephone_number": "504-391-7337",
            "fax_number": "504-398-7213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIM",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "340909",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.