Individual provider Active NPI

Jessica Marie Debord, MD

  • Pediatrics Physician
  • New Orleans, LA
National Provider Identifier
1669652723
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.202212 Issued in LA
Practice address
1430 Tulane Ave
SL-37
New Orleans, LA 70112-2632
Phone
(504) 988-1683
Fax
(504) 988-5233
NPI assigned
Nov 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.202212 LA Primary

Addresses

Primary practice location

1430 Tulane Ave
SL-37
New Orleans, LA 70112-2632

Mailing address

1430 Tulane Ave
SL-37
New Orleans, LA 70112
Phone (504) 988-1683

Other practice location 1

200 Henry Clay Ave
New Orleans, LA 70118-5798
Phone (504) 899-9511

Other identifiers 1

IdentifierTypeStateIssuer
1002623MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090327000465 LA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Pediatric Medicine 5496812992 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Pediatric Medicine
Education
Tulane University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Tulane Ave
New Orleans, LA 70112-2600

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 988-5224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.202212LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2011 Accepting new patients
Children'S Hospital CurrentSince Dec 15, 2018 Accepting new patients
Children'S Hospital Pediatrics CurrentSince Dec 15, 2018 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Jun 1, 2014 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2011 Accepting new patients
Childrens Hospital Medical Practice Corporation Pediatrics CurrentSince Jan 1, 2019 Accepting new patients
Children'S Hospital Past Accepting new patients

Locations

141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337

3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880

1430 Tulane Ave
#37
New Orleans, LA 70112
Phone (504) 988-5456

1430 Tulane Ave
#T
New Orleans, LA 70112

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080

2003 Tulane Ave
New Orleans, LA 70112
Phone (504) 962-6110

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1669652723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-37",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-988-1683",
            "fax_number": "504-988-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-37",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-1683",
            "fax_number": "504-988-5233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Henry Clay Ave",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701185798",
            "country_code": "US",
            "telephone_number": "504-899-9511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBORD",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.202212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002623",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.