Individual provider Active NPI

Jordan Knecht Davis, NP

  • Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1780277608
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
218728 Issued in LA
Practice address
3312 Kaliste Saloom Rd BLDG 1
Lafayette, LA 70508-7449
Phone
(337) 534-0727
Fax
(337) 534-0737
NPI assigned
Feb 12, 2021
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 218728 LA Primary

Addresses

Primary practice location

3312 Kaliste Saloom Rd BLDG 1
Lafayette, LA 70508-7449

Mailing address

3312 Kaliste Saloom Rd BLDG 1
Lafayette, LA 70508-7449
Phone (337) 534-0727

Other practice location 1

1103 Kaliste Saloom Rd Ste 304
Lafayette, LA 70508-5784
Phone (337) 988-5646

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
I20210225000212 LA Practitioner - Nurse Practitioner 8729493788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Psychiatric and Wellness Group LLCGroup PAC ID 0840702312, 7 clinicians
Anesthesiology and Pain Consultants LLCGroup PAC ID 3870490402, 48 clinicians

Practice addresses (Care Compare)

100 Asma Blvd
Suite 200E
Lafayette, LA 70508-3858
Phone (337) 504-2332

1103 Kaliste Saloom Rd
Suite 304
Lafayette, LA 70508-5784
Phone (337) 988-5646

3312 Kaliste Saloom Rd
BLDG 1
Lafayette, LA 70508-7449
Phone (337) 534-0727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Psychiatric & Wellness Group LLC CurrentSince Sep 15, 2025 Accepting new patients
Luma Psychiatric Services Nurse Practitioner Current Accepting new patients
Anesthesiology & Pain Consultants, LLC CurrentSince Feb 11, 2021 Accepting new patients
Core Mental Health and Wellness, LLC PastSince Mar 27, 2022 Accepting new patients

Locations

100 Asma Blvd
Ste 200E
Lafayette, LA 70508
Phone (337) 362-3813

1101 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 231-5775

1103 Kaliste Saloom Rd
Ste 304
Lafayette, LA 70508
Phone (318) 981-3546

3312 Kaliste Saloom Rd
#1
Lafayette, LA 70508
Phone (337) 534-0727

4811 Ambassador Caffery Pkwy
Ste 100
Lafayette, LA 70508
Phone (337) 237-8119

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1780277608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 KALISTE SALOOM RD BLDG 1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087449",
            "telephone_number": "337-534-0727",
            "fax_number": "337-534-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 KALISTE SALOOM RD BLDG 1",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087449",
            "telephone_number": "337-534-0727",
            "fax_number": "337-534-0737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 Kaliste Saloom Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705085784",
            "country_code": "US",
            "telephone_number": "337-988-5646",
            "fax_number": "337-981-3590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JORDAN",
        "middle_name": "KNECHT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "218728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.