Individual provider Active NPI

Jorie C Sanford, FNP

  • Family Nurse Practitioner
  • Columbia, LA
National Provider Identifier
1982655940
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO4058 Issued in LA
Practice address
484 Collins Rd
Suite a
Columbia, LA 71418-3388
Phone
(318) 649-5300
Fax
(318) 649-3773
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 APO4058 LA Primary

Addresses

Primary practice location

484 Collins Rd
Suite a
Columbia, LA 71418-3388

Mailing address

484 Collins Rd
Suite a
Columbia, LA 71418-3388
Phone (318) 649-5300

Other identifiers 1

IdentifierTypeStateIssuer
1140686MedicaidLA

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
I20070702000013 LA Practitioner - Nurse Practitioner 2769581826 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO4058LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lasalle Parish Hospital Service District #1 CurrentSince Jul 26, 2010 Accepting new patients
Lasalle Parish Hospital Service Dist No1 CurrentSince Feb 3, 2020 Accepting new patients
Lasalle Parish Hospital Service District #1 CurrentSince Jul 26, 2010 Accepting new patients
Lasalle Hospital Service Dist #1 Past Accepting new patients

Locations

1049 N Pine Rd
Olla, LA 71465
Phone (318) 495-3175

1102 N Pine Rd
Olla, LA 71465
Phone (318) 495-5302

Organizations & group practices 4

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1982655940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 COLLINS RD",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714183388",
            "telephone_number": "318-649-5300",
            "fax_number": "318-649-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COLLINS RD",
            "address_2": "SUITE A",
            "city": "COLUMBIA",
            "state": "LA",
            "postal_code": "714183388",
            "telephone_number": "318-649-5300",
            "fax_number": "318-649-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "JORIE",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO4058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1140686",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, LA

Sources for this page

Verify at the official NPI Registry.