Individual provider Active NPI

Dominque Jones, MSN, APRN, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1821419599
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
211726 Issued in LA
Practice address
510 W University Ave
Lafayette, LA 70506-3652
Phone
(337) 380-0879
NPI assigned
Dec 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 211726 LA
Primary Care Nurse Practitioner 363LP2300X 211726 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 211726 LA Primary

Addresses

Primary practice location

510 W University Ave
Lafayette, LA 70506-3652

Mailing address

510 W University Ave
Lafayette, LA 70506-3652

Other practice location 1

200 Albertson Pkwy
Broussard, LA 70518-4947
Phone (337) 256-5317

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
I20200602001305 LA Practitioner - Nurse Practitioner 1759702681 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

Practice addresses (Care Compare)

510 W University Ave
Lafayette, LA 70506-3652
Phone (337) 380-0879

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
211726LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Brain Injury Specialists, LLC CurrentSince Sep 28, 2025 Accepting new patients
Urogynecology Associates of Lafayette LLC CurrentSince Dec 21, 2025 Accepting new patients
Lifestyle Medicine ,LLC CurrentSince Jan 1, 2023 Accepting new patients
Becoming Wellness LLC Psychiatric/Mental Health CurrentSince Aug 2, 2024 Accepting new patients
Clark Chiropractic, L.L.C. CurrentSince Mar 1, 2021 Accepting new patients
Women First, LLC CurrentSince Jan 1, 2023 Accepting new patients
Pediatric Group of Acadiana, LLC Past Accepting new patients

Locations

200 Albertson Pkwy
Broussard, LA 70518
Phone (337) 256-5317

401 E Verot School Rd
Lafayette, LA 70508
Phone (337) 232-3353

130 Rue Beauregard
Ste A
Lafayette, LA 70508
Phone (337) 232-3353

510 W University Ave
Lafayette, LA 70506
Phone (337) 380-0879

2309 Old Jeanerette Rd
New Iberia, LA 70563
Phone (337) 256-5317

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1821419599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W UNIVERSITY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W UNIVERSITY AVE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063652",
            "telephone_number": "337-380-0879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Albertson Pkwy",
            "address_purpose": "LOCATION",
            "city": "Broussard",
            "state": "LA",
            "postal_code": "705184947",
            "country_code": "US",
            "telephone_number": "337-256-5317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "DOMINQUE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-26",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211726",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "211726",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "211726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.