Individual provider Active NPI

Alexis Elizabeth Juneau, APRN, FNP-C

  • Family Nurse Practitioner
  • Vinton, LA
National Provider Identifier
1740968569
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP231315 Issued in LA
Practice address
1611 Hampton St
Vinton, LA 70668-3707
Phone
(337) 589-5951
Fax
(337) 589-4013
NPI assigned
Jul 11, 2023
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP231315 LA Primary

Addresses

Primary practice location

1611 Hampton St
Vinton, LA 70668-3707

Mailing address

701 Cypress St
Sulphur, LA 70663-5053
Phone (337) 527-6530

Other names 1

  • Alexis Langley Former name

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
I20230829000155 LA Practitioner - Nurse Practitioner 4284097965 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 Hampton St
Vinton, LA 70668-3707
Phone (337) 589-5951

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP231315LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Service District CurrentSince Sep 1, 2023 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Sep 1, 2023 Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients

Locations

6240 Gulf Beach Hwy
Cameron, LA 70631
Phone (337) 569-2245

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

703 Cypress St
Ste A
Sulphur, LA 70663
Phone (337) 310-0395

1611 Hampton St
Vinton, LA 70668
Phone (337) 589-5951

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1740968569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635053",
            "telephone_number": "337-527-6530",
            "fax_number": "337-528-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 HAMPTON ST",
            "city": "VINTON",
            "state": "LA",
            "postal_code": "706683707",
            "telephone_number": "337-589-5951",
            "fax_number": "337-589-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEAU",
        "first_name": "ALEXIS",
        "middle_name": "ELIZABETH",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP231315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "LANGLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vinton, LA

Sources for this page

Verify at the official NPI Registry.