MS. JACKIE DUPONT (NPI# 1497125587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497125587 |
| Entity Type | Individual |
| Full Name | MS. JACKIE DUPONT |
| Credential | LPN |
| Practice Address |
900 Wilkinson St Mandeville LA 70448-3533 |
| Practice Telephone | 9856244450 |
| Practice Fax Number | 9856244461 |
| Mailing Telephone | 9856244450 |
| Mailing Fax Number | 9856244461 |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 790510 | LA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033727623 | Jackie Ruth Dupont | Massage Therapist | 1905 Queen Anne Ave N, Seattle, WA 98109-2500 | 2020-07-20 |
| Street Address |
900 WILKINSON ST |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215080478 | Department of Health and Hospital | Clinic/Center | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2007-01-19 |
| 1558978866 | Kathleen Mary Powers | Counselor | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-09-30 |
| 1437762317 | Nancy Lynn Berg | Peer Specialist | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-08-28 |
| 1144842170 | Christopher Lee Todd Jr. | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-05-13 |
| 1881224053 | Alexis Michelle Caillouet | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-01-16 |
| 1366091761 | Renee Kuulei Mendenhall | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2019-09-09 |
| 1235791070 | Linda Marie Muse | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2019-07-02 |
| 1831754803 | Kathy Price Splain | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2019-05-06 |
| 1740795319 | Charleen Ciaccio Schreiner | Social Worker | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2017-12-05 |
| 1558804195 | Paulette Dawson | Social Worker | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2016-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| 1205005097 | Sallie Early Healthcare Services | Licensed Practical Nurse | 1802 Neva Ct, Mandeville, LA 70448-1026 | 2008-02-26 |
| 1730110750 | Glenda M. Flot | Licensed Practical Nurse | 23861 Robin Road, Mandeville, LA 70448 | 2006-07-06 |
| 1144842170 | Christopher Lee Todd Jr. | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-05-13 |
| 1881224053 | Alexis Michelle Caillouet | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2020-01-16 |
| 1174163919 | Amy Jo Griffin | Licensed Practical Nurse | 23515 Highway 190, Mandeville, LA 70448-7334 | 2020-01-09 |
| 1366091761 | Renee Kuulei Mendenhall | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2019-09-09 |
| 1235791070 | Linda Marie Muse | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2019-07-02 |
| 1831754803 | Kathy Price Splain | Licensed Practical Nurse | 900 Wilkinson St, Mandeville, LA 70448-3533 | 2019-05-06 |
| 1962884148 | Lacrita Carter | Licensed Practical Nurse | 23515 Highway 190, Mandeville, LA 70448-7334 | 2015-06-24 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
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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.