Active NPI
Jennifer Dick Price, P.A.
- Physician Assistant
- Monroe, LA
National Provider Identifier
1881943694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.200572
- Practice address
- 309 Jackson St
Monroe, LA 71201 - Phone
- (318) 966-4471
- NPI assigned
- Sep 7, 2012
- Last updated
- Aug 12, 2019
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.200572 | LA | Primary |
Addresses
Primary practice location
309 Jackson St
Monroe, LA 71201
Mailing address
309 Jackson St
Monroe, LA 71201
Phone (318) 966-4471
Other practice location 1
4864 Jackson St
Monroe, LA 71202-6400
Phone (318) 330-7000
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Francis Medical Group LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- West Monroe, LA
- NPI 1255460143
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
-
- Emergency Medical Services (Emergency Medicine) Physician
- Monroe, LA
- NPI 1386235331
-
- Urgent Care Clinic/Center
- Monroe, LA
- NPI 1194104513
-
- Internal Medicine Physician
- Monroe, LA
- NPI 1134405087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565568000000",
"number": "1881943694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 JACKSON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "71201",
"telephone_number": "318-966-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 JACKSON ST",
"city": "MONROE",
"state": "LA",
"postal_code": "71201",
"telephone_number": "318-966-4471"
}
],
"practiceLocations": [
{
"address_1": "4864 Jackson St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "LA",
"postal_code": "712026400",
"country_code": "US",
"telephone_number": "318-330-7000",
"fax_number": "318-330-7591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRICE",
"first_name": "JENNIFER",
"middle_name": "DICK",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2019-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.