Individual provider Active NPI

Jonathon Jay Rynning, M.D.

  • Psychiatry Physician
  • Metairie, LA
National Provider Identifier
1992845127
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
07800R Issued in LA
Practice address
3901 Houma Blvd Ste 401
Metairie, LA 70006-2930
Phone
(504) 889-1448
Fax
(504) 889-1452
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 07800R LA Primary

Addresses

Primary practice location

3901 Houma Blvd Ste 401
Metairie, LA 70006-2930

Mailing address

3901 Houma Blvd Ste 401
Metairie, LA 70006-2930
Phone (504) 889-1448

Other identifiers 1

IdentifierTypeStateIssuer
1923095MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110816000024 LA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6507035110 Practice locations: Metairie, LA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arkansas College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 Metairie Rd
Suite 300
Metairie, LA 70005-4337
Phone (504) 264-7741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
07800RLAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Psychiatric Associates Psychiatry CurrentSince Oct 10, 2021 Accepting new patients

Locations

3901 Houma Blvd
Ste 401
Metairie, LA 70006
Phone (504) 889-1448

3340 Severn Ave
Ste 206
Metairie, LA 70002
Phone (504) 889-1448

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1992845127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD STE 401",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062930",
            "telephone_number": "504-889-1448",
            "fax_number": "504-885-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 HOUMA BLVD STE 401",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062930",
            "telephone_number": "504-889-1448",
            "fax_number": "504-889-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYNNING",
        "first_name": "JONATHON",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "07800R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1923095",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.