Individual provider Active NPI

Jamie Lancon, APRN, CNM

  • Advanced Practice Midwife
  • Broussard, LA
National Provider Identifier
1942931076
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
219429 Issued in LA
Practice address
803 S Morgan Ave
Broussard, LA 70518-4921
Phone
(337) 453-4346
NPI assigned
Jun 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 219429 LA Primary

Addresses

Primary practice location

803 S Morgan Ave
Broussard, LA 70518-4921

Mailing address

117 Thrush Loop
Lafayette, LA 70508-6218
Phone (337) 258-2245

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)
Not enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
219429LAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Midwife Kira PastSince Jun 15, 2025 Accepting new patients
Midwife Kira PastSince Feb 25, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1942931076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 THRUSH LOOP",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086218",
            "telephone_number": "337-258-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S MORGAN AVE",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184921",
            "telephone_number": "337-453-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCON",
        "first_name": "JAMIE",
        "credential": "APRN, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-20",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "LA",
            "license": "219429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broussard, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.