Individual provider Active NPI

Jennifer Kay Villalobos, FNP / PMHNP

  • Primary Care Nurse Practitioner
  • Houma, LA
National Provider Identifier
1609348259
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP10212 Issued in LA
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

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1K0820OtherLAMEDICARE
2486918MedicaidLA

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
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

LicenseStateTypeSpecialty
AP10212LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Teche Action Board Inc Current Accepting new patients
Teche Action Board, Inc. CurrentSince Dec 7, 2020 Accepting new patients
Teche Action Board, Inc. CurrentSince Dec 7, 2020 Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Children'S International, LLC PastSince Nov 17, 2019 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.

View all 14

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 27 clinicians

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

Verify at the official NPI Registry.