CRYSTAL WHITE JEANSONNE (NPI# 1124489372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124489372 |
| Entity Type | Individual |
| Full Name | CRYSTAL WHITE JEANSONNE |
| Credential | FNP |
| Practice Address |
1105 Kaliste Saloom Rd Lafayette LA 70508-5705 |
| Mailing Address |
1105 Kaliste Saloom Road Lafayette LA 70508 |
| Practice Telephone | 3374701058 |
| Practice Fax Number | 3374700047 |
| Mailing Telephone | 3374701058 |
| Mailing Fax Number | 3374700047 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP08664 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1105 KALISTE SALOOM RD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609845130 | Emergency Group of Lafayette LLC | Physician Assistant | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2006-03-16 |
| 1407468135 | Ronda Vincent | Registered Nurse | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2020-08-24 |
| 1154930915 | Richard Jude Leblanc | Registered Nurse | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2020-07-28 |
| 1275164261 | Garrett Joseph Darbonne | Nurse Anesthetist, Certified Registered | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2020-01-29 |
| 1942717269 | Joshua Mark Thigpen | Nurse Anesthetist, Certified Registered | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2018-01-09 |
| 1932645090 | Jarod Boudreaux | Nurse Anesthetist, Certified Registered | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2017-01-13 |
| 1184812182 | Heart Hospital of Acadiana, LLC | Special Hospital | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2007-10-04 |
| 1902822786 | Lafayette Heart Hospital LLC | General Acute Care Hospital | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2006-07-14 |
| 1336182989 | Prabhakara Venkata Reddy | Emergency Medicine | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2006-06-13 |
| 1750344248 | Randal Lee Pilgrim | Emergency Medicine | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2006-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915233 | Christi Danielle Carmouche | Nurse Practitioner | 119 Crooked Stick Ln, Lafayette, LA 70506-7539 | 2020-09-03 |
| 1881204808 | Shavondali Harris Cawthorne | Nurse Practitioner | 945 Bellevue Plantation Rd, Lafayette, LA 70503-6122 | 2020-08-04 |
| 1386253870 | Millcreek Medical LLC | Nurse Practitioner | 105 Moss Brook Dr, Lafayette, LA 70508-8039 | 2020-07-30 |
| 1174145759 | Synita Wooten | Nurse Practitioner | 200 Highway 52 Byp E, Lafayette, TN 37083-1353 | 2020-05-18 |
| 1316567548 | Michelle Cataldo | Nurse Practitioner | 605 Viridian Dr Apt 148, Lafayette, CO 80026-7045 | 2020-04-17 |
| 1255974515 | Dr. Terrell S Manuel, LLC | Nurse Practitioner | 336 Brightwood Dr, Lafayette, LA 70508-7358 | 2019-10-19 |
| 1477117562 | Kayley Jon Myers | Nurse Practitioner | 200 Beaullieu Dr Ste 6, Lafayette, LA 70508-7230 | 2019-04-24 |
| 1003371840 | Brandi Rene Boutte | Nurse Practitioner | 1101 Kaliste Saloom Rd Ste 304, Lafayette, LA 70508-5705 | 2019-02-06 |
| 1265912141 | Kathryn Lynn Armentor Boutte | Nurse Practitioner | 4212 W Congress St Ste 3300, Lafayette, LA 70506-6789 | 2018-08-20 |
| 1801380829 | Sarah Darouse | Nurse Practitioner | 155 Hospital Dr Ste 101, Lafayette, LA 70503-2852 | 2018-06-22 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on CRYSTAL WHITE JEANSONNE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.