Active NPI
Jeanie Tassin Ponthier
- Family Nurse Practitioner
- Alexandria, LA
National Provider Identifier
1881044360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP08819
- Practice address
- 1587 N Bolton Ave
Alexandria, LA 71303-4217 - Phone
- (318) 445-9823
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | AP08819 | LA | Primary |
Addresses
Primary practice location
1587 N Bolton Ave
Alexandria, LA 71303-4217
Mailing address
1587 N Bolton Ave
Alexandria, LA 71303-4217
Phone (318) 445-9823
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Northwestern University Feinberg Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1587 N Bolton Ave
Suite 1100
Alexandria, LA 71303-4255
Phone (318) 445-9823
Hospital & facility affiliations
- Avoyelles Hospital
- Christus St Frances Cabrini Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP08819 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cenla Family Medicine Associates, LLC | Nurse Practitioner | Current | Accepting new patients |
| Compass Mental Health MD, LLC | Current | Accepting new patients |
Locations
1587 N Bolton Ave
Ste 1100
Alexandria, LA 71303
Phone (318) 445-9823
6410 Masonic Dr
Alexandria, LA 71301
Phone (318) 442-3163
301 4th St
Ste 30124
Alexandria, LA 71301
Phone (318) 445-9823
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CEDCAA
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.
-
- Family Medicine Physician
- Alexandria, LA
- NPI 1538397542
Nurse Practitioner
-
- Psychiatric/Mental Health Clinical Nurse Specialist
- Crowley, LA
- NPI 1467779611
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1881044360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1587 N BOLTON AVE",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713034217",
"telephone_number": "318-445-9823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1587 N BOLTON AVE",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713034217",
"telephone_number": "318-445-9823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONTHIER",
"first_name": "JEANIE",
"middle_name": "TASSIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP08819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.