JACOB M THERIOT FNP-C NPI 1548871577

NPI Information

  • NPI: 1548871577
  • Provider Name: JACOB M THERIOT, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4345 NELSON RD STE 101
    LAKE CHARLES, LA
    ZIP 70605
  • Phone: (337) 480-7942

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NPI Details

Jacob M Theriot, FNP-C is a family nurse practitioner in Lake Charles, LA with 7 years of experience. Jacob M Theriot, FNP-C NPI is 1548871577. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4345 NELSON RD STE 101
LAKE CHARLES, LA
ZIP 70605-183
Phone: (337) 480-7942
Fax: (337) 480-7964

The NPI 1548871577 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Injection, ketorolac tromethamine, per 15 mg (HCPCS:J1885)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)

The enumeration date for this NPI number is 8/13/2020 and was last updated on 9/26/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner210780LOUISIANANo
2363LF0000XNurse PractitionerFamily210780LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13449382MEDICAIDLOUISIANA
2RN138165OTHERLOUISIANARN
3210780OTHERLOUISIANACERTIFIED NURSE PRACTITIONER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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