Mary Faith Joubert, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

22320 Issued in LA

Practice address

1051 Gause Blvd Ste 360
Slidell, LA 70458-2999

Phone

(985) 641-5523

Fax

(985) 645-9411

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Slidell Memorial Hospital

  • Clinic/Center
  • Slidell, LA
  • NPI 1801020433
  Medicare reassignment NPD
• Slidell Memorial Hospital

  • Specialist
  • Slidell, LA
  • NPI 1558301093
  NPD (past)

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1730148677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD STE 360",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582999",
            "telephone_number": "985-641-5523",
            "fax_number": "985-645-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD STE 360",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582999",
            "telephone_number": "985-641-5523",
            "fax_number": "985-645-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOUBERT",
        "first_name": "MARY",
        "middle_name": "FAITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MS",
            "license": "020615",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "22320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1978540",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tawan Jordan
• Joseph B Boucree Jr Inc
• Hannah Joseph
• Nadia Joseph, LPC
• Treshunda Joseph
• Ebony Juakali, M.D.
• Jubilee Counseling Service
• Julie S. Plustache LCSW LLC
• Julio C Marin Jr DDS LLC
• Andrea Juneau, PA-C

• Infectious Disease Physician in Slidell, LA
• Providers in Slidell, LA by specialty
• Infectious Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.