Ingrid Elizabeth Jennings

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3683 S First St
Jena, LA 71342-6409

Phone

(318) 992-2263

NPI assigned

Jul 31, 2020

Sex

Female

Sole proprietor

No

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.

• Fairway Counseling Agency, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, LA
  • NPI 1912281031
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2020.

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1780294173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3683 S FIRST ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713426409",
            "telephone_number": "318-992-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3683 S FIRST ST",
            "city": "JENA",
            "state": "LA",
            "postal_code": "713426409",
            "telephone_number": "318-992-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "INGRID",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Jackson, DPT, MOT,ATC
• Jena Ess Hospitalist LLC
• Jena Ess LLC
• Jena Nursing and Rehabilitation Center LLC
• Jena Pharmacy LLC
• Jereme Brian Johnson, DPT
• John Derek Johnson, MD
• Kristen Johnson, FNP
• Ryan A Jones, PT, DPT
• Stephen Thomas Jones, PHARMD

• All providers in Jena, LA
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.