Active NPI
Betty Ventress Jordan, N.P.
- Registered Nurse
- Pine Prairie, LA
National Provider Identifier
1932266491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN024906
- Practice address
- 1015 Sanders St
Pine Prairie, LA 70576 - Phone
- (337) 599-2212
- Fax
- (337) 599-2388
- NPI assigned
- Jan 3, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN024906 | LA | Primary |
Addresses
Primary practice location
1015 Sanders St
Pine Prairie, LA 70576
Mailing address
800 E Main St
Ville Platte, LA 70586-4618
Phone (337) 599-2212
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN024906 | LA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Physician Practices LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/5868/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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
- Ville Platte, LA
- NPI 1598885832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1932266491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E MAIN ST",
"city": "VILLE PLATTE",
"state": "LA",
"postal_code": "705864618",
"telephone_number": "337-599-2212",
"fax_number": "337-599-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 SANDERS ST",
"city": "PINE PRAIRIE",
"state": "LA",
"postal_code": "70576",
"telephone_number": "337-599-2212",
"fax_number": "337-599-2388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "BETTY",
"middle_name": "VENTRESS",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN024906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Prairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.