John David Theriot, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN065771 - AP03378 Issued in LA

Practice address

225 Dunn St
Houma, LA 70360-4413

Phone

(985) 876-0300

Fax

(985) 872-0317

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Medical Center Management CorporationGroup PAC ID 7012150311, 91 clinicians

Paeon Health Services IncGroup PAC ID 1153697727, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
• University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtheriot96285@direct.ochsner.org

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.

• Paeon Health Services Inc

  • Anesthesiology Physician
  • Houma, LA
  • NPI 1568985612

  LA

  Medicare reassignment Care Compare group NPD
• University Medical Center Management Corporation

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1083655567

  LA, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Physician Practice Partners

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1326598434

  LA, Nurse Practitioner

  Medicare reassignment NPD
• University Medical Center Management Corporation

  • Psychiatric Hospital Unit
  • New Orleans, LA
  • NPI 1144261728
  Care Compare group NPD
• University Medical Center Management Corporation

  • Community/Retail Pharmacy
  • New Orleans, LA
  • NPI 1093453094
  Care Compare group
• University Medical Center Management Corporation

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1568403111
  Care Compare group
• Terrebonne Parish Hospital Service District #1

  • Anesthesiology Physician
  • Houma, LA
  • NPI 1740248129
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Terrebonne Parish Hospital Service District #1

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109

  Hospital

  Care Compare affiliation
• University Medical Center Management Corporation

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1568403111

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445299200000",
    "number": "1619974367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4176",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614176",
            "telephone_number": "985-876-0300",
            "fax_number": "985-872-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604413",
            "telephone_number": "985-876-0300",
            "fax_number": "985-872-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2015-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN065771 - AP03378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1554090",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "500007519",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Therapy Group, LLC
• The Touchstone Center, LLC
• Jeremy Wilson Theodore
• Therex, Inc.
• Ernest F Theriot, CRNA
• Lois T Theriot
• Melissa Theriot, MCD, CCC,CLP
• Mitchell P Theriot, DDS
• Myrn Theriot, BA
• Thibodaux Regional Network Development Corporation

• All providers in Houma, LA
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.

Verify at the official NPI Registry.