NPIMap

Individual provider Active NPI

Daniela Maria Leon Jarrin, MD

  • Internal Medicine Physician
  • Lafayette, LA
National Provider Identifier
1851814032
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
325016 Issued in LA
Practice address
461 Heymann Blvd
Lafayette, LA 70503-2616
Phone
(337) 703-6373
Fax
(337) 703-6374
NPI assigned
Jul 19, 2017
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 325016 LA Primary

Addresses

Primary practice location

461 Heymann Blvd
Lafayette, LA 70503-2616

Mailing address

461 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 703-6373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201216002729 LA Practitioner - General SurgeryPractitioner - Internal Medicine 4082966072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

461 Heymann Blvd
Lafayette, LA 70503-2616
Phone (337) 289-8646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Nov 16, 2020 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures, Inc Internal Medicine CurrentSince Nov 16, 2020 Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Locations

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

461 Heymann Blvd
Lafayette, LA 70503
Phone (337) 289-8646

Interoperability endpoints

  • Direct secure messaging: dleonjarrin1451728@direct.ochsner.org

Organizations & group practices 4

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 10

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": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1851814032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-703-6373",
            "fax_number": "251-471-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 HEYMANN BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032616",
            "telephone_number": "337-703-6373",
            "fax_number": "337-703-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON JARRIN",
        "first_name": "DANIELA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "325016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.