Individual provider Active NPI

Jeannine Utzman Babineaux, FNP

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1790906493
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN033154 A02178 PA Issued in LA
Practice address
2802 Pineview St
Lake Charles, LA 70615-2063
Phone
(337) 497-0233
Fax
(337) 439-5029
NPI assigned
May 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 RN033154 A02178 PA LA Primary

Addresses

Primary practice location

2802 Pineview St
Lake Charles, LA 70615-2063

Mailing address

320 Orchard Dr
Lake Charles, LA 70605-4446
Phone (337) 474-8354

Other identifiers 1

IdentifierTypeStateIssuer
1561126MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN033154 A02178 PALAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790906493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ORCHARD DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054446",
            "telephone_number": "337-474-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 PINEVIEW ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706152063",
            "telephone_number": "337-497-0233",
            "fax_number": "337-439-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABINEAUX",
        "first_name": "JEANNINE",
        "middle_name": "UTZMAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN033154  A02178 PA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1561126",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.