Premier Pediatrics of Livingston, LLP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PREMIER PEDIATRICS OF LIVINGSTON, LLP

Practice address

35055 La Highway 16 Ste G
Denham Springs, LA 70706-1535

Phone

(225) 571-5941

NPI assigned

Jul 7, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Kepper, FNP-CNPI 1457817249

Title

Owner/Manager

Phone

(225) 571-5941

Specialties & licenses 1

Addresses

Other names 1

• Premier Pediatrics Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Wilson Kepper, FNP-C

  • Family Nurse Practitioner
  • Denham Springs, LA
  • NPI 1457817249
  NPD (past) Authorized official

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

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1841978178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35055 LA HIGHWAY 16 STE G",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707061535",
            "telephone_number": "225-571-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35055 LA HIGHWAY 16 STE G",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707061535",
            "telephone_number": "225-571-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PEDIATRICS OF LIVINGSTON, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "KEPPER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "225-571-5941",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Townley Poulin, LPC
• Courtney Steffeni Pourciau, PA-C
• Kristy Poynor, LPC-S, NCSC, NCC
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• All providers in Denham Springs, LA
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.