Active NPI
Jennifer Kay Villalobos, FNP / PMHNP
- Primary Care Nurse Practitioner
- Houma, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP10212
- Practice address
- 189 Mozart Dr
Houma, LA 70363-7990 - Phone
- (985) 868-3700
- Fax
- (337) 355-2335
- NPI assigned
- Dec 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP10212 | LA | |
| Family Nurse Practitioner | 363LF0000X | AP10212 | LA | |
| Primary Care Nurse Practitioner | 363LP2300X | AP10212 | LA | Primary |
Addresses
Primary practice location
189 Mozart Dr
Houma, LA 70363-7990
Mailing address
1115 Weber St
Franklin, LA 70538-4124
Phone (337) 828-2550
Other practice location 1
216 Mystic Blvd
Houma, LA 70360-2870
Phone (985) 868-9339
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1K0820 | Other | LA | MEDICARE |
| 2486918 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201211000509 | LA | Practitioner - Nurse Practitioner | 4688086853 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP10212 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teche Action Board Inc | Current | Accepting new patients | |
| Teche Action Board, Inc. | Current | Accepting new patients | |
| Teche Action Board, Inc. | Current | Accepting new patients | |
| Teche Action Board, Inc. | Past | Accepting new patients | |
| Children'S International, LLC | Past | Accepting new patients | |
| Children'S International L.L.C. | Past | Accepting new patients | |
| Teche Action Board Inc | Past | Accepting new patients | |
| Teche Action Board, Inc. | Past | Accepting new patients | |
| Teche Action Board, Inc. | Past | Accepting new patients | |
| Teche Action Board, Inc. | Past | Accepting new patients | |
| Teche Action Board, Inc. | Past | Accepting new patients |
Locations
18333 Highway 182
Baldwin, LA 70514
Phone (337) 924-7990
18333 Highway 182
Rm 505
Baldwin, LA 70514
Phone (337) 924-9418
2555 Highway 18
Edgard, LA 70049
Phone (337) 828-2550
159 E 3rd St
Edgard, LA 70049
Phone (985) 497-8726
1115 Weber St
Franklin, LA 70538
Phone (337) 828-2550
827 N Pine St
Gramercy, LA 70052
Phone (225) 258-9490
5642 W Main St
Houma, LA 70360
Phone (985) 448-3737
189 Mozart Dr
Houma, LA 70363
Phone (985) 868-3700
1014 W Tunnel Blvd
Houma, LA 70360
Phone (985) 851-1717
393 Greenwood Dr
La Place, LA 70068
Phone (985) 359-6492
1124 7th St
Morgan City, LA 70380
Phone (985) 384-2371
3528 Highway 70 S
Pierre Part, LA 70339
Phone (985) 252-6211
1 Giordano Ln
Reserve, LA 70084
Phone (985) 536-6492
1709 Ridgefield Rd
Thibodaux, LA 70301
Phone (985) 446-7341
22187 Highway 20
Vacherie, LA 70090
Phone (225) 258-4980
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Houma, LA
- NPI 1215974019
-
- Federally Qualified Health Center (FQHC)
- Houma, LA
- NPI 1770308736
-
- Federally Qualified Health Center (FQHC)
- Morgan City, LA
- NPI 1124307566
-
- Federally Qualified Health Center (FQHC)
- Reserve, LA
- NPI 1255788428
-
- Federally Qualified Health Center (FQHC)
- Thibodaux, LA
- NPI 1356767420
-
- Federally Qualified Health Center (FQHC)
- Vacherie, LA
- NPI 1649914763
-
- Federally Qualified Health Center (FQHC)
- Houma, LA
- NPI 1659319135
-
- Federally Qualified Health Center (FQHC)
- Gramercy, LA
- NPI 1801433883
-
- Federally Qualified Health Center (FQHC)
- Reserve, LA
- NPI 1386880433
-
- Federally Qualified Health Center (FQHC)
- Pierre Part, LA
- NPI 1972746964
-
- Federally Qualified Health Center (FQHC)
- Baldwin, LA
- NPI 1902082811
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Teche Action Board Inc
Practice addresses (Care Compare)
189 Mozart Dr
Houma, LA 70363-7990
Phone (985) 868-3700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1609348259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 WEBER ST",
"city": "FRANKLIN",
"state": "LA",
"postal_code": "705384124",
"telephone_number": "337-828-2550",
"fax_number": "337-355-2335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "189 MOZART DR",
"city": "HOUMA",
"state": "LA",
"postal_code": "703637990",
"telephone_number": "985-868-3700",
"fax_number": "337-355-2335"
}
],
"practiceLocations": [
{
"address_1": "216 Mystic Blvd",
"address_purpose": "LOCATION",
"city": "Houma",
"state": "LA",
"postal_code": "703602870",
"country_code": "US",
"telephone_number": "985-868-9339",
"fax_number": "855-519-4481",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLALOBOS",
"first_name": "JENNIFER",
"middle_name": "KAY",
"credential": "FNP / PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-20",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "LA",
"license": "AP10212",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP10212",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "LA",
"license": "AP10212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "1K0820",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2486918",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houma, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.