Individual provider Active NPI

Jacob Craig Foret

  • Registered Nurse
  • Ville Platte, LA
National Provider Identifier
1649018862
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
212369 Issued in LA
Practice address
9640 Veteran Memorial Hwy
Ville Platte, LA 70586-8377
Phone
(337) 322-6979
NPI assigned
Jul 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 212369 LA Primary

Addresses

Primary practice location

9640 Veteran Memorial Hwy
Ville Platte, LA 70586-8377

Mailing address

9640 Veteran Memorial Hwy
Ville Platte, LA 70586-8377
Phone (337) 322-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
212369LAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1721433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1649018862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 VETERAN MEMORIAL HWY",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705868377",
            "telephone_number": "337-322-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 VETERAN MEMORIAL HWY",
            "city": "VILLE PLATTE",
            "state": "LA",
            "postal_code": "705868377",
            "telephone_number": "337-322-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORET",
        "first_name": "JACOB",
        "middle_name": "CRAIG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-20",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "212369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ville Platte, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.