Organization Active NPI

Jennifer Midgett, LLC

  • Family Medicine Physician
  • Deridder, LA
National Provider Identifier
1740769082
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP09115 Issued in LA
Legal business name
JENNIFER MIDGETT, LLC
Practice address
2581 Highway 190 W
Deridder, LA 70634-6056
Phone
(337) 221-3075
Fax
(337) 221-3076
NPI assigned
Aug 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Jennifer Midgett, FNPNPI 1265976617
Title
Owner
Phone
(337) 221-3075

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X AP09115 LA Primary

Addresses

Primary practice location

2581 Highway 190 W
Deridder, LA 70634-6056

Mailing address

PO Box 1146
Deridder, LA 70634-1146
Phone (337) 221-3075

Other names 1

  • Premier Pediatrics of Louisiana Doing business as

National Provider Directory

National Provider Directory

Locations

813 Bon Ami St
Deridder, LA 70634
Phone (318) 641-0444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1740769082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1146",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706341146",
            "telephone_number": "337-221-3075",
            "fax_number": "337-221-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 HIGHWAY 190 W",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706346056",
            "telephone_number": "337-221-3075",
            "fax_number": "337-221-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MIDGETT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "MIDGETT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-221-3075",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "AP09115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pediatrics of Louisiana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deridder, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.