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Individual provider Active NPI

Jennifer Stevenson Roy, FNP

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1780211607
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
212082 Issued in LA
Practice address
1203 S Tyler St Ste 200
Covington, LA 70433-2353
Phone
(985) 892-9143
Fax
(985) 892-9656
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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 212082 LA Primary

Addresses

Primary practice location

1203 S Tyler St Ste 200
Covington, LA 70433-2353

Mailing address

1203 S Tyler St Ste 200
Covington, LA 70433-2353
Phone (985) 892-9143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200623000032 LA Practitioner - Nurse Practitioner 5092137950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Tammany Parish Hospital Service District No 1 162 clinicians

Practice addresses (Care Compare)

1006 S Harrison St
Cardiovascular Clinic
Covington, LA 70433-3630
Phone (985) 871-4140

1202 S Tyler St
Attention Managed Care Dept.
Covington, LA 70433-2330

1203 S Tyler St
200 Northlake Pulmonary Assoc at S
Covington, LA 70433-2353
Phone (985) 892-9143

Hospital & facility affiliations

  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Riverside Medical Center Hospital, Franklinton, LA, CCN 191313
  • Our Lady of the Angels Hospital Hospital, Bogalusa, LA, CCN 190312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
212082LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Jan 1, 2025 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Current Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Jan 1, 2025 Accepting new patients
Bienville Parish CurrentSince Mar 16, 2020 Accepting new patients
Christus Health Northern Louisiana PastSince Mar 1, 2020 Accepting new patients

Locations

1175 Pine St
Ste 100
Arcadia, LA 71001
Phone (318) 263-7970

1175 Pine St
Arcadia, LA 71001
Phone (318) 263-4700

1203 S Tyler St
Ste 200
Covington, LA 70433
Phone (985) 892-9143

606 W 11th Ave
#A
Covington, LA 70433
Phone (985) 892-3766

Organizations & group practices 9

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 11

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1780211607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S TYLER ST STE 200",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332353",
            "telephone_number": "985-892-9143",
            "fax_number": "985-892-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S TYLER ST STE 200",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332353",
            "telephone_number": "985-892-9143",
            "fax_number": "985-892-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "JENNIFER",
        "middle_name": "STEVENSON",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "212082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.