FABIAN JACKSON (NPI# 1336784412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336784412 |
| Entity Type | Individual |
| Full Name | FABIAN JACKSON |
| Practice Address |
3173 Washington Ave Baton Rouge LA 70802-2178 |
| Practice Telephone | 2257787678 |
| Practice Fax Number | 2253416825 |
| Mailing Telephone | 2257787678 |
| Mailing Fax Number | 2253416825 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172A00000X | Driver | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760739585 | Fabian Jackson | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2012-08-10 |
| Street Address |
3173 WASHINGTON AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70802-2178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255734331 | Cynthia R Jackson | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2014-10-02 |
| 1831748516 | Tukeya A. Jarvis | Case Manager/Care Coordinator | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2019-09-05 |
| 1821642471 | Shenetha Ramsey | Case Manager/Care Coordinator | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2019-07-31 |
| 1962972273 | Quentin Maurice Dabney | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2018-11-29 |
| 1457849499 | Suzanne Elizabeth Lee | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2018-04-25 |
| 1073013538 | Italy Hayes | Behavioral Analyst | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2018-02-20 |
| 1134641137 | Melini Redditt | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802 | 2017-07-11 |
| 1740713924 | Lori Veal | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2017-04-05 |
| 1811429822 | Charlette Javius | Counselor | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2017-03-29 |
| 1831549393 | Gerelle G Jackson | Behavioral Analyst | 3173 Washington Ave, Baton Rouge, LA 70802-2178 | 2016-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881113801 | Mason D Ceasar | Counselor | 1520 Thomas H Delpit Dr Ste 219, Baton Rouge, LA 70802 | 2017-09-11 |
| 1508389800 | Arlette Henderson | Counselor | 4776 Adams Street, Baton Rouge, LA 70802 | 2017-07-19 |
| 1306375738 | Raven Turner | Social Worker | 1120 Spanish Town Rd, 108, Baton Rouge, LA 70802 | 2017-06-08 |
| 1528597176 | Maya Harvey | Case Manager/Care Coordinator | 1520 Thomas H Delpit, Baton Rouge, LA 70802 | 2017-06-07 |
| 1124554324 | Heart & Key Transportation, LLC | Non-emergency Medical Transport (VAN) | 1716 North 18th Street, Baton Rouge, LA 70802 | 2017-05-08 |
| 1730628769 | Abriel Hunter | Counselor | 3173 Washington Ave., Baton Rouge, LA 70802 | 2017-02-23 |
| 1528506284 | Brennan Manning | Counselor | 1520 Thomas Delpit St., Baton Rouge, LA 70802 | 2017-02-02 |
| 1124570163 | Ty Hightower | Counselor | 1520 Thomas Delpit, Baton Rouge, LA 70802 | 2016-10-25 |
| 1386190924 | Callesha Lashawn Young | Counselor | 1539 North 23rd Street, Baton Rouge, LA 70802 | 2016-09-01 |
| 1598118705 | Shenquie Jackson | Counselor | 1520 Thomas H Delpit Dr Ste 125, Baton Rouge, LA 70802 | 2016-07-22 |
| Find all providers in zip 70802 | ||||
| Taxonomy Code | 172A00000X |
| Grouping | Other Service Providers |
| Classification | Driver |
| A person employed to operate a motor vehicle as a carrier of persons or property. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734999 | Antoinette Carter | Driver | 3931 Hillmont Dr, Baton Rouge, LA 70814-4708 | 2020-09-09 |
| 1952910846 | Patrice Quinette Jackson | Driver | 7274 Modesto Ave, Baton Rouge, LA 70811-4427 | 2020-07-27 |
| 1730707670 | Monica Johnson | Driver | 10018 Sandhill Ct, Baton Rouge, LA 70809-5925 | 2020-07-07 |
| 1780216929 | Roderick Lee Edwards II | Driver | 5724 Benson Dr, Baton Rouge, LA 70812-2603 | 2020-02-05 |
| 1053957431 | Encore Transportation LLC | Driver | 12454 Windermere Oaks Ct, Baton Rouge, LA 70810-0910 | 2019-11-21 |
| 1346808953 | Alwonda Deshon Randolph | Driver | 9466 Balboa Dr, Baton Rouge, LA 70810-2315 | 2019-05-30 |
| 1982269882 | Delvin Coston | Driver | 4445 Noble Cane Dr, Baton Rouge, LA 70814-8042 | 2019-05-06 |
| 1720546112 | Noah Dewayne Johnson Jr. | Driver | 11707 Kingston Dr, Baton Rouge, LA 70807-2066 | 2019-03-05 |
| 1225594146 | Shonda Monique Davis | Driver | 12416 Excalibur Ave, Baton Rouge, LA 70816-2410 | 2019-02-15 |
| 1548724990 | Chauna H Jackson | Driver | 7200 Cypress Lakes Apartment Blvd Apt 601, Baton Rouge, LA 70809-5307 | 2019-01-29 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70802 |
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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.