Active NPI
Joni Ferguson Nickens, NP
- Family Nurse Practitioner
- Baton Rouge, LA
National Provider Identifier
1831196096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN062230AP03515
- Practice address
- 4560 North Blvd
Ste 101
Baton Rouge, LA 70806-4043 - Phone
- (225) 341-5901
- Fax
- (225) 341-5903
- NPI assigned
- Jul 3, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN062230AP03515 | LA | Primary |
Addresses
Primary practice location
4560 North Blvd
Ste 101
Baton Rouge, LA 70806-4043
Mailing address
42076 Highway 933
Prairieville, LA 70769-6106
Phone (225) 622-2048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1170763 | Medicaid | LA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN062230AP03515 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health of Louisiana, LLC | Past | Accepting new patients | |
| Family Health of St. Helena, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Primary Care Clinic/Center
- Denham Springs, LA
- NPI 1366696098
-
- Rural Health Clinic/Center
- Denham Springs, LA
- NPI 1255357638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1831196096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42076 HIGHWAY 933",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "707696106",
"telephone_number": "225-622-2048",
"fax_number": "225-319-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4560 NORTH BLVD",
"address_2": "STE 101",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708064043",
"telephone_number": "225-341-5901",
"fax_number": "225-341-5903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICKENS",
"first_name": "JONI",
"middle_name": "FERGUSON",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-03",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN062230AP03515",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1170763",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.