JANCI BIENVENU DETWILER (NPI# 1144673344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144673344 |
| Entity Type | Individual |
| Full Name | JANCI BIENVENU DETWILER |
| Credential | CPNP-PC/AC |
| Practice Address |
4704 Ambassador Caffery Pkwy Lafayette LA 70508-6908 |
| Mailing Address |
612 Burlington Cir Broussard LA 70518-7414 |
| Practice Telephone | 3373713101 |
| Mailing Telephone | 3372242123 |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP08962 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0222X |
Nurse Practitioner Specialization: Pediatrics, Critical Care |
AP08962 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4704 AMBASSADOR CAFFERY PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-6908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427080738 | Kenneth W Falterman | Surgery | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2006-07-07 |
| 1124673439 | David Paul Bailey | Physician Assistant | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2019-08-04 |
| 1780009613 | Sarah Iblings | Nurse Practitioner | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2014-03-01 |
| 1669715322 | Ryan Patrick Farmer | Orthopaedic Surgery | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508 | 2013-04-01 |
| 1568788479 | Kenneth Richmond Habetz | Psychiatry & Neurology | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2010-04-16 |
| 1306071162 | Amy Arceneaux Vitte | Pediatrics | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2009-05-22 |
| 1487844650 | Gabriel L Dersam | Orthopaedic Surgery | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2007-07-25 |
| 1144397472 | Deiadra Garrett | Pediatrics | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2006-11-30 |
| 1447325360 | Janna Kirsten Flint Wilson | Pediatrics | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2006-11-24 |
| 1407878929 | Leslie Gauthier Fontenot | Dietitian, Registered | 4704 Ambassador Caffery Pkwy, Lafayette, LA 70508-6908 | 2006-07-24 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578056842 | Jenna Elizabeth Bednarski | Nurse Practitioner | 3741 Rome Dr Ste B, Lafayette, IN 47905-4490 | 2018-06-12 |
| 1033505912 | Erin Gena Monachello | Nurse Practitioner | 401 Youngsville Hwy Ste 100, Lafayette, LA 70508-5173 | 2015-04-08 |
| 1710319009 | Megan Elizabeth Chapman | Nurse Practitioner | 1716 Hartford Stree, Lafayette, IN 47904-2138 | 2013-08-08 |
| 1932358660 | Claire F. Bailey | Nurse Practitioner | 5000 Ambassador Caffery Pkwy Bldg 12, Lafayette, LA 70508-6984 | 2008-09-18 |
| 1417995242 | Elizabeth A Jones | Nurse Practitioner | 3741 Rome Dr, Ste. B, Lafayette, IN 47905-4490 | 2006-06-03 |
| 1407807134 | Melissa Hope Nice | Nurse Practitioner | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2006-05-15 |
| 1962058743 | Rita M Becker | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2019-08-16 |
| 1013486588 | Rebekah Hurst | Nurse Practitioner | 1716 Hartford St., Lafayette, IN 47904-2138 | 2018-11-14 |
| 1295218071 | Hannah Henderson | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2018-09-08 |
| 1568972446 | Heather F. Champagne | Nurse Practitioner | 401 Youngsville Hwy Ste 100, Lafayette, LA 70508-5173 | 2017-10-05 |
| Find all providers in LAFAYETTE | ||||
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| 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.