Jeremy Dedeaux, FNP-C
NPI 1104233923 · Family Nurse Practitioner · Zachary, LA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeremy Dedeaux, FNP-C is a Family Nurse Practitioner provider in Zachary, LA (NPI 1104233923).
Provider details
- NPI number
- 1104233923
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- AP07961 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5439 Airline HwyBaton Rouge, LA 70805-1712Phone: (225) 358-4853Fax: (225) 358-2350
Registry dates
- Enumerated
- 2014-07-14
- Last updated
- 2022-12-06
- Certified
- 2022-12-06
Frequently asked questions
- What is Jeremy Dedeaux's NPI number?
- Jeremy Dedeaux's National Provider Identifier (NPI) is 1104233923, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Dedeaux's specialty?
- Jeremy Dedeaux is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jeremy Dedeaux located?
- Jeremy Dedeaux's practice location on file with NPPES is 2335 Church St, Zachary, LA 70791-2700.
- What is Jeremy Dedeaux's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Dedeaux is (225) 654-3607.
- Does Jeremy Dedeaux accept Medicare?
- Jeremy Dedeaux is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeremy Dedeaux's NPI active?
- Yes — Jeremy Dedeaux's NPI (1104233923) is active in the NPPES registry as of the last update on 2022-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.