Individual provider Active NPI

Jennifer Lane Dufriend, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, LA
National Provider Identifier
1750915310
Registry record updated Feb 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
211632 Issued in LA
Practice address
201 Greenbrier Blvd
Covington, LA 70433-7236
Phone
(866) 652-3940
NPI assigned
Feb 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 211632 LA Primary

Addresses

Primary practice location

201 Greenbrier Blvd
Covington, LA 70433-7236

Mailing address

320 Stallion CT
Covington, LA 70435-0575
Phone (504) 701-6755

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
I20210210002115 LA Practitioner - Nurse Practitioner 8426463142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrier Hospital, LLCGroup PAC ID 0840278289, 2 clinicians

Practice addresses (Care Compare)

201 Greenbrier Blvd
Covington, LA 70433-7236
Phone (985) 893-2970

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211632LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Hospital, LLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

201 Greenbrier Blvd
Covington, LA 70433
Phone (866) 652-3940

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.

NPI Registry JSON

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

{
    "created_epoch": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582416000000",
    "number": "1750915310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 STALLION CT",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704350575",
            "telephone_number": "504-701-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GREENBRIER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337236",
            "telephone_number": "866-652-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFRIEND",
        "first_name": "JENNIFER",
        "middle_name": "LANE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "211632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.