Individual provider Active NPI

Anna Jones Ardoin, FNP-C

  • Family Nurse Practitioner
  • Zachary, LA
National Provider Identifier
1750166229
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
231471 Issued in LA
Practice address
6351 Main St
Zachary, LA 70791-4038
Phone
(225) 306-2000
NPI assigned
Aug 31, 2023
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 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 231471 LA Primary

Addresses

Primary practice location

6351 Main St
Zachary, LA 70791-4038

Mailing address

33765 Natures Way
Walker, LA 70785-3425
Phone (225) 252-9124

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
I20231023001841 LA Practitioner - Nurse Practitioner 8820444102 Reassigns benefits to 2 organizations

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
Southeast Community Health SystemsGroup PAC ID 4284610437, shared by 23 NPIs, 22 clinicians

Practice addresses (Care Compare)

1207 PO Box
Greensburg, LA 70441

6351 Main St
Zachary, LA 70791-4038

721 Ave G
Kentwood, LA 70444-2601
Phone (225) 306-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231471LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Community Health Systems Current Accepting new patients
Southeast Community Health Systems CurrentSince Sep 7, 2023 Accepting new patients
Southeast Community Health Systems CurrentSince Aug 10, 2024 Accepting new patients
Southeast Community Health Systems CurrentSince Sep 7, 2023 Accepting new patients
Southeast Community Health Systems Past Accepting new patients
Southeast Community Health Systems PastSince Sep 12, 2021 Accepting new patients

Locations

8913 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 612-3900

490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059

30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone (225) 306-2050

336 E Railroad Ave
Independence, LA 70443
Phone (225) 306-2013

721 Avenue G
Kentwood, LA 70444
Phone (225) 306-2023

6351 Main St
Zachary, LA 70791
Phone (225) 306-2026

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.

NPI Registry JSON

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1750166229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33765 NATURES WAY",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707853425",
            "telephone_number": "225-252-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6351 MAIN ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707914038",
            "telephone_number": "225-306-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDOIN",
        "first_name": "ANNA",
        "middle_name": "JONES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "231471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.