Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob M Theriot, FNP-C

Individual provider Nurse Practitioner · NPI 1548871577

Jacob M Theriot, FNP-C is a Nurse Practitioner in Lake Charles, Louisiana. Qualified in 2019, 7 years ago. Practices with Lake Charles Medical Services Orthopedics Associates LLC, a 13-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
7
Licensed in
LA
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4345 Nelson Rd Ste 101
Lake Charles, LA 70605-4183
Phone: (337) 480-7942
Fax: (337) 480-7964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 — (337) 494-4900
  • 230 W Sale Rd, Lake Charles, LA 70605-2828 — (337) 477-5252

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 210780 (LA)
Nurse Practitioner Taxonomy 363L00000X · Licence 210780 (LA)

Record details

NPI number1548871577
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 13, 2020
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Lake Charles Medical Services Orthopedics Associates Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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