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Export Provider Record NPI 1174581342
Jeanne D. Theriot Md Apmllc
Organization Subpart: NO
Active
NPI Number1174581342
NPI TypeNPI-2 Organization
SpecialtyFamily Medicine
Provider Details
NPI1174581342
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2006-05-03
Last Updated2008-03-10
Authorized OfficialJeanne Theriot
Owner/Director
Phone: 3373322242
Mailing Address112 Champagne Blvd
Breaux Bridge, LA 70517-3852
United States
Phone: (337) 332-2242
📍 View Map
Primary Practice Address112 Champagne Blvd
Breaux Bridge, LA 70517-3852
United States
Phone: (337) 332-2242
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207Q00000X – Family MedicineLA-
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About NPI 1174581342

Jeanne D. Theriot Md Apmllc is an organization registered in the CMS NPPES NPI Registry with NPI number 1174581342. The primary specialty listed is Family Medicine. The organization is located in Breaux Bridge, LA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1174581342?

NPI 1174581342 belongs to Jeanne D. Theriot Md Apmllc, a Family Medicine in Breaux Bridge, LA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1174581342 active?

The current status of NPI 1174581342 in the NPPES registry is Active. The record was last updated on 2008-03-10.

What specialty is NPI 1174581342?

NPI 1174581342 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1174581342?

You can verify NPI 1174581342 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1174581342?

The primary practice address on file for NPI 1174581342 is 112 Champagne Blvd, Breaux Bridge, LA 70517-3852. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1174581342 issued?

NPI 1174581342 was first issued (enumerated) on 2006-05-03. The NPPES record was last updated on 2008-03-10.

Practice Location Map

Jeanne D. Theriot Md Apmllc is located at 112 Champagne Blvd, Breaux Bridge, LA. Use the map below to find directions or verify the practice location.

📍 112 Champagne Blvd, Breaux Bridge, LA 70517-3852  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jeanne D. Theriot Md Apmllc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-07-09 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162