TIMOTHY JAMES JACKSON (NPI# 1144217969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144217969 |
| Entity Type | Individual |
| Full Name | TIMOTHY JAMES JACKSON |
| Credential | NP |
| Practice Address |
155 Hospital Dr Lafayette LA 70503-2852 |
| Mailing Address |
Po Box 52507 Lafayette LA 70505-2507 |
| Practice Telephone | 3372699777 |
| Practice Fax Number | 3372690244 |
| Mailing Telephone | 3372699777 |
| Mailing Fax Number | 3372690244 |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN 073450 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1949388 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124338504 | Timothy Lawrence Jackson | Physician Assistant | 2722 N Mariah Way, Flagstaff, AZ 86004-7550 | 2010-10-19 |
| 1972610947 | Timothy Michael Jackson | Dentist | 982 Drayton Avenue, Elba, AL 36323 | 2006-08-24 |
| 1255444766 | Timothy K Jackson | Internal Medicine | 710 Genesis Blvd, Bridgeport, WV 26330-9668 | 2006-08-17 |
| 1982623625 | Timothy L Jackson | Physician Assistant | 5249 Providence Rd, Virginia Beach, VA 23464-4201 | 2006-07-19 |
| 1093710089 | Timothy D Jackson | Orthopaedic Surgery | 12080 New Orleans Ave N, Gulfport, MS 39503-3180 | 2005-06-16 |
| 1710473368 | Timothy Jackson | Registered Nurse | 1644 Central Ave, Mckinleyville, CA 95519-4342 | 2018-07-06 |
| 1336634641 | Timothy Jackson | Social Worker | 3820 Nine Mile Rd, Richmond, VA 23223-4831 | 2018-06-28 |
| 1538512520 | Timothy Jackson | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2016-07-14 |
| 1538485396 | Timothy William Jackson | Counselor | 115 Liberty St, Bath, NY 14810-1508 | 2010-04-19 |
| 1598997751 | Timothy William Jackson | Physical Therapist | 8918 Blakeney Professional Dr, Suite 120, Charlotte, NC 28277-6691 | 2009-08-20 |
| Street Address |
155 HOSPITAL DR |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667257 | Cain & Johnson Oncology LLC | Internal Medicine | 155 Hospital Dr, Ste 100, Lafayette, LA 70503-2852 | 2005-05-24 |
| 1851783864 | Madelyn Ann Hunter | Nurse Practitioner | 155 Hospital Dr, Ste. 206, Lafayette, LA 70503-2852 | 2015-02-27 |
| 1902212301 | Lauren Sullivan | Nurse Practitioner | 155 Hospital Dr, Suite 100, Lafayette, LA 70503-2852 | 2014-07-07 |
| 1346652161 | Jay Luke LLC | Specialist | 155 Hospital Dr, Ste 410, Lafayette, LA 70503-2852 | 2014-05-28 |
| 1275950370 | Andrew Patrick Hebert | Physician Assistant | 155 Hospital Dr, Lafayette, LA 70503-2852 | 2014-03-26 |
| 1528481744 | Morgan Louviere | Nurse Practitioner | 155 Hospital Dr, Suite 301, Lafayette, LA 70503-2852 | 2014-01-23 |
| 1669802716 | Ghanami Medical LLC | Specialist | 155 Hospital Dr, Suite 410, Lafayette, LA 70503-2852 | 2013-11-26 |
| 1801222104 | Maria Bidros Md Apmc | Ophthalmology | 155 Hospital Dr, Suite 203, Lafayette, LA 70503-2852 | 2013-09-18 |
| 1578905725 | Amanda Lemoine Alleyn LLC | Obstetrics & Gynecology | 155 Hospital Dr, Suite 303, Lafayette, LA 70503-2852 | 2013-07-29 |
| 1700224862 | Smartmed - It Solutions LLC | Internal Medicine | 155 Hospital Dr, Suite 103, Lafayette, LA 70503-2852 | 2013-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264594 | Neely Primary | Nurse Practitioner | 102 Independence Blvd, Lafayette, LA 70506-6085 | 2020-08-04 |
| 1215553359 | Sync Health LLC | Nurse Practitioner | 1300 Verot School Rd Ste D, Lafayette, LA 70508-5855 | 2020-06-24 |
| 1801422654 | Lindsay Spurgeon | Nurse Practitioner | 892 Belgian Ln, Lafayette, IN 47905-0794 | 2020-03-12 |
| 1033754692 | Harmony White | Nurse Practitioner | 1345 Unity Pl Ste 210, Lafayette, IN 47905-5762 | 2019-11-07 |
| 1962050591 | Stephanie Ching Wong | Nurse Practitioner | 1735 S Public Rd Ste 203, Lafayette, CO 80026-7093 | 2019-08-27 |
| 1407353543 | Dnprovider LLC | Nurse Practitioner | 312 Dunvegan Ct, Lafayette, LA 70503-6084 | 2018-04-06 |
| 1477065381 | Amber R Wattigny | Nurse Practitioner | 155 Hospital Dr Ste 100, Lafayette, LA 70503-2852 | 2017-11-01 |
| 1346765617 | Kristina Lynn Renfrow | Nurse Practitioner | 1345 Unity Pl Ste 310, Lafayette, IN 47905-5769 | 2017-08-08 |
| 1578086484 | Melissa Ann Donahue | Nurse Practitioner | 3900 St Francis Way Ste 220, Lafayette, IN 47905-4925 | 2017-07-23 |
| 1063944064 | Margaret Jordan Trawick | Nurse Practitioner | 110 Levison Way, Lafayette, LA 70508-7094 | 2017-03-29 |
| 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.