Individual provider Active NPI

Johnica Ann Hebert, FNP, ANP

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1740508316
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06066 Issued in LA
Practice address
850 Kaliste Saloom Rd Ste 122
Lafayette, LA 70508-4230
Phone
(337) 235-9355
Fax
(337) 235-9356
NPI assigned
May 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN115555-AP06066 LA
Family Nurse Practitioner 363LF0000X AP06066 LA Primary

Addresses

Primary practice location

850 Kaliste Saloom Rd Ste 122
Lafayette, LA 70508-4230

Mailing address

850 Kaliste Saloom Rd
Ste 122
Lafayette, LA 70508-4230
Phone (337) 235-9355

Other practice location 1

4809 Ambassador Caffery
Suite 410
Lafayette, LA 70508
Phone (337) 504-3335

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000295 LA Practitioner - Nurse Practitioner 8022287366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Checkup LLCGroup PAC ID 0446536288, 4 clinicians

Practice addresses (Care Compare)

850 Kaliste Saloom Rd
Suite 122
Lafayette, LA 70508-4230
Phone (337) 235-9355

Hospital & facility affiliations

  • Elara Caring Home health agency, Opelousas, LA, CCN 197062
  • Lourdes Home Health Home health agency, Lafayette, LA, CCN 197057
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN115555-AP06066LAMDAdult Health Nurse Practitioner
AP06066LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Checkup, LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

850 Kaliste Saloom Rd
Ste 122
Lafayette, LA 70508
Phone (337) 235-9355

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1740508316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 KALISTE SALOOM RD",
            "address_2": "STE 122",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084230",
            "telephone_number": "337-235-9355",
            "fax_number": "337-235-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KALISTE SALOOM RD STE 122",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084230",
            "telephone_number": "337-235-9355",
            "fax_number": "337-235-9356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4809 Ambassador Caffery",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "70508",
            "country_code": "US",
            "telephone_number": "337-504-3335",
            "fax_number": "337-504-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "JOHNICA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-06",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "RN115555-AP06066",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.