Organization Active NPI

Clinton Family Practice LLC

  • Family Medicine Physician
  • Clinton, LA
National Provider Identifier
1790679579
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLINTON FAMILY PRACTICE LLC
Practice address
10793 Plank Road
Clinton, LA 70722
Phone
(225) 522-3410
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Nicole Jarreau, FNPNPI 1376984468
Title
Owner
Phone
(225) 522-3410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

10793 Plank Road
Clinton, LA 70722

Mailing address

10793 Plank Road
Clinton, LA 70722
Phone (225) 522-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250731000769 LA Part B Supplier - Clinic/Group Practice 6901314111 Receives reassigned benefits from 1 practitioner
Practice locations: Clinton, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2329420Clinton Family Practice10793 Plank Road, Clinton, LA 70722Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory

Locations

10793 Plank Rd
Clinton, LA 70722
Phone (225) 522-3410

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAHIDD

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1790679579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10793 PLANK ROAD",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "70722",
            "telephone_number": "225-522-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10793 PLANK ROAD",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "70722",
            "telephone_number": "225-522-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "JARREAU",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-522-3410",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.