Individual provider Active NPI

Andy Louis Jean, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Cambridge, MA
National Provider Identifier
1871957126
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9385203 Issued in FL
Practice address
215 Alewife Brook Pkwy
Cambridge, MA 02138-1101
Phone
(617) 661-6422
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2316574 MA
Family Nurse Practitioner 363LF0000X 9385203 FL Primary

Addresses

Primary practice location

215 Alewife Brook Pkwy
Cambridge, MA 02138-1101

Mailing address

215 Alewife Brook Pkwy
Cambridge, MA 02138-1101
Phone (617) 661-6422

Other names 1

  • Andy Louis Jean Professional name

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

State licenses

LicenseStateTypeSpecialty
9385203FLMDFamily Nurse Practitioner
2316574MAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1871957126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ALEWIFE BROOK PKWY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381101",
            "telephone_number": "617-661-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ALEWIFE BROOK PKWY",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381101",
            "telephone_number": "617-661-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS JEAN",
        "first_name": "ANDY",
        "credential": "ARNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2316574",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9385203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDY",
            "last_name": "LOUIS JEAN",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.