Individual provider Active NPI

Jenna Jo Behlar, FNP-C

  • Family Nurse Practitioner
  • Mandeville, LA
National Provider Identifier
1659918753
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213925 Issued in LA
Practice address
4910 Highway 22
Mandeville, LA 70471
Phone
(985) 778-0788
NPI assigned
Dec 8, 2019
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN.1637012 CO
Family Nurse Practitioner 363LF0000X APN.0995256-NP CO
Family Nurse Practitioner 363LF0000X 213925 LA Primary

Addresses

Primary practice location

4910 Highway 22
Mandeville, LA 70471

Mailing address

4910 Highway 22
Mandeville, LA 70471-2813
Phone (985) 778-0788

Other practice location 1

8405 Park Meadows Center Dr Ste 1000
Lone Tree, CO 80124-5025
Phone (303) 990-8568

Other practice location 2

433 Plaza St Ste 3A
Bogalusa, LA 70427-3729
Phone (985) 730-6970

Other practice location 3

648 Crestwood Drive
Covington, LA 70433
Phone (985) 805-2555

Other practice location 4

1150 Robert Blvd Ste 220
Slidell, LA 70458-2006
Phone (985) 805-2555

Other identifiers 1

IdentifierTypeStateIssuer
213925OtherLASTATE LICENSE

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.1637012COMDCritical Care Medicine Registered Nurse
APN.0995256-NPCOMDFamily Nurse Practitioner
213925LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington St. Tammany Regional Medical Center Past Accepting new patients
Neurocovery, LLC PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 2

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": "1575763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1659918753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 HIGHWAY 22",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712813",
            "telephone_number": "985-778-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 HIGHWAY 22",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "70471",
            "telephone_number": "985-778-0788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8405 Park Meadows Center Dr Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801245025",
            "country_code": "US",
            "telephone_number": "303-990-8568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 Plaza St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-6970",
            "fax_number": "985-730-7269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "648 Crestwood Drive",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "LA",
            "postal_code": "70433",
            "country_code": "US",
            "telephone_number": "985-805-2555",
            "fax_number": "985-400-5303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 Robert Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704582006",
            "country_code": "US",
            "telephone_number": "985-805-2555",
            "fax_number": "985-400-5303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHLAR",
        "first_name": "JENNA",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-08",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "CO",
            "license": "RN.1637012",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995256-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "213925",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; 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.