Individual provider Active NPI

Jasmine Renee' Breaux, FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1922594605
Registry record updated Jul 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10116 Issued in LA
Practice address
2013 Central Rd Ste B
Baton Rouge, LA 70807-3944
Phone
(225) 774-1120
Fax
(225) 774-1158
NPI assigned
Jul 6, 2018
Last updated
Jul 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10116 LA Primary

Addresses

Primary practice location

2013 Central Rd Ste B
Baton Rouge, LA 70807-3944

Mailing address

2013 Central Rd Ste B
Baton Rouge, LA 70807-3944
Phone (225) 774-1120

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190611000128 LA Practitioner - Nurse Practitioner 2961735741 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Primary Care Collaborative, Inc. CurrentSince May 1, 2019 Accepting new patients
Signify Health, LLC CurrentSince Aug 8, 2024 Accepting new patients
Baton Rouge Primary Care Collaborative, Inc. Current Accepting new patients

Locations

2013 Central Rd
Ste B
Baton Rouge, LA 70807
Phone (225) 774-1120

7050 Plank Rd
Baton Rouge, LA 70811
Phone (225) 774-1120

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 224-6402

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: jasmine.breaux.1@30520.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1922594605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 CENTRAL RD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708073944",
            "telephone_number": "225-774-1120",
            "fax_number": "225-774-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 CENTRAL RD STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708073944",
            "telephone_number": "225-774-1120",
            "fax_number": "225-774-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAUX",
        "first_name": "JASMINE",
        "middle_name": "RENEE'",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.