Johnathan Larroquette LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JOHNATHAN LARROQUETTE LLC

Practice address

1214 Coolidge Blvd
Lafayette, LA 70503-2621

Phone

(337) 289-7991

NPI assigned

Jul 11, 2024

Last updated

Oct 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnathan Theron Larroquette, PMHNPNPI 1073060125

Title

Certified Nurse Practitioner

Phone

(985) 247-1394

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Johnathan Theron Larroquette, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1073060125
  Medicare reassignment NPD Authorized official
• Kevin Huval, LMSW

  • Social Worker
  • Lafayette, LA
  • NPI 1588553804
  NPD
• Deandre S. John

  • Counselor
  • Lafayette, LA
  • NPI 1548808058
  NPD
• Patrice Michelle Ambrose, M.D.

  • Psychiatry Physician
  • Lafayette, LA
  • NPI 1184759664
  NPD (past)
• Stephanie Danielle Farris, PLPC

  • Counselor
  • Lafayette, LA
  • NPI 1114698776
  NPD (past)
• Shemeka Faulk, LPC

  • Professional Counselor
  • Lafayette, LA
  • NPI 1447791355
  NPD (past)
• April M Glenn

  • Clinical Social Worker
  • Slidell, LA
  • NPI 1023950466
  NPD (past)
• Delana Adiyah Janee Johnson, B.S

  • Case Manager/Care Coordinator
  • Lafayette, LA
  • NPI 1679415871
  NPD (past)
• Wenona Jean Mellott, BSW

  • Social Worker
  • Slidell, LA
  • NPI 1467004978
  NPD (past)
• Deandre Develle West, LMSW

  • Social Worker
  • Slidell, LA
  • NPI 1356841902
  NPD (past)

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1679310072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51906",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 COOLIDGE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032621",
            "telephone_number": "337-289-7991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Dumond Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705035913",
            "country_code": "US",
            "telephone_number": "985-247-1394",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1405 W Pinhook Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705033100",
            "country_code": "US",
            "telephone_number": "337-232-9457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOHNATHAN LARROQUETTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "LARROQUETTE",
        "authorized_official_first_name": "JOHNATHAN",
        "authorized_official_middle_name": "THERON",
        "authorized_official_title_or_position": "CERTIFIED NURSE PRACTITIONER",
        "authorized_official_telephone_number": "985-247-1394",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John M Azar MD Apmc
• John M. Tracy, PHD, LLC
• John R. Humphries, M.D., Apmc
• Deandre S. John
• Dylan Anthony John
• Johnsey Chiropractic, LLC
• Michael Keith Johnsey, D.C.
• Myisha Sanae Johnson-Ledet, FNP-C
• Alaina Gauthier Johnson, DDS
• Annie F. Johnson

• Psychiatric/Mental Health Nurse Practitioner in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.