JOHN KEVIN JACKSON (NPI# 1750347878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750347878 |
| Entity Type | Individual |
| Full Name | JOHN KEVIN JACKSON |
| Credential | M.D. |
| Practice Address |
2905 Kingman St Metairie LA 70006-6615 |
| Mailing Address |
5114 Camp St New Orleans LA 70115-2940 |
| Practice Telephone | 5048853737 |
| Practice Fax Number | 5048855507 |
| Mailing Telephone | 5043520232 |
| Mailing Fax Number | 5048855507 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
020998 | LA | Allopathic & Osteopathic Physicians |
| X | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
020998 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1684201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1063073310 | John Jackson | Speech-Language Pathologist | 2143 Mohawk Trl, Maitland, FL 32751-3950 | 2019-06-27 |
| 1992202832 | John Jackson | Physical Therapy Assistant | 209 Lake St, Chittenango, NY 13037-1518 | 2018-04-08 |
| 1063911105 | John Martin Jackson | Physical Therapy Assistant | 11118 Lantern Way, North Chesterfield, VA 23236-3575 | 2018-02-05 |
| 1184164493 | John Jackson | Emergency Medical Technician, Paramedic | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-03-06 |
| 1508236837 | John Willard Jackson | Anesthesiology | 7857 Caruth Ct, Dallas, TX 75225-8133 | 2015-09-29 |
| 1043572035 | John Ferndale Jackson | Behavioral Analyst | 931 Azure Heights Place, Las Vegas, NV 89110 | 2012-06-14 |
| 1679830558 | John Michael Jackson | Pharmacist | 1000 Castlebay, Cincinnati, OH 45245-4910 | 2012-04-18 |
| 1013043553 | John Phillip Jackson | Occupational Therapist | 7810 Avenue U Apt B, Lubbock, TX 79423-2430 | 2007-02-26 |
| 1275673451 | John W Jackson | Pharmacist | 1667 Bellemeade Dr, Altoona, PA 16602-7402 | 2007-02-07 |
| Street Address |
2905 KINGMAN ST |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-6615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609313345 | Nelville Reehlmann | Orthopaedic Surgery | 2905 Kingman St, Metairie, LA 70006-6615 | 2017-01-19 |
| 1013218494 | Erika May Broussard | Nurse Practitioner | 2905 Kingman St, Metairie, LA 70006-6615 | 2010-11-16 |
| 1235368937 | Headache Center of New Orleans | Neurological Surgery | 2905 Kingman St, Metairie, LA 70006-6615 | 2009-07-02 |
| 1003088915 | Amy Wilcox Voigt | Psychiatry & Neurology | 2905 Kingman St, Metairie, LA 70006-6615 | 2008-03-31 |
| 1184775074 | Advanced Sleep Center, Inc | Durable Medical Equipment & Medical Supplies | 2905 Kingman St, 3rd Floor, Suite 3, Metairie, LA 70006-6615 | 2007-01-16 |
| 1164570883 | Advanced Neurodiagnostic Center, Inc | Nurse Practitioner | 2905 Kingman St, Metairie, LA 70006-6615 | 2007-01-08 |
| 1508811704 | Morteza Shamsnia | Psychiatry & Neurology | 2905 Kingman St, Metairie, LA 70006-6615 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316105182 | Troy Allan Beaucoudray | Psychiatry & Neurology | 3409 Division St, Metairie, LA 70002-4611 | 2008-05-29 |
| 1922293372 | East Jefferson Physicians Group LLC | Psychiatry & Neurology | 4300 Houma Blvd., Ste. 202, Metairie, LA 70006-2924 | 2007-09-10 |
| 1417023748 | Specialized Diagnostics LLC | Psychiatry & Neurology | 3349 Ridgelake Dr, Suite 104, Metairie, LA 70002-3851 | 2006-11-28 |
| 1902804933 | Debra L Burris | Psychiatry & Neurology | 110 Veterans Memorial Blvd, Suite 105, Metairie, LA 70005-3027 | 2005-07-13 |
| 1215935275 | Michael T Happel | Psychiatry & Neurology | 110 Veterans Memorial Blvd Ste 325, Metairie, LA 70005-4961 | 2005-07-13 |
| 1891069118 | Daniel J Trahant, Md (apmc) | Psychiatry & Neurology | 3901 Houma Blvd, Suite 305, Metairie, LA 70006-2930 | 2012-03-05 |
| 1780974774 | Frank Jefferson Williams Jr. | Psychiatry & Neurology | 3800 Houma Blvd, Ste 205, Metairie, LA 70006-4151 | 2011-04-12 |
| 1639330996 | Brian Wade Peterson | Psychiatry & Neurology | 3800 Houma Blvd, Suite 205, Metairie, LA 70006-4182 | 2008-06-19 |
| 1003088915 | Amy Wilcox Voigt | Psychiatry & Neurology | 2905 Kingman St, Metairie, LA 70006-6615 | 2008-03-31 |
| 1508036195 | Enrique Segura | Psychiatry & Neurology | 3800 Houma Blvd, Ste 205, Metairie, LA 70006-4151 | 2008-03-10 |
| Find all providers in METAIRIE | ||||
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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.