MRS. JAIMIE DESROCHE REVON (NPI# 1881204022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881204022 |
| Entity Type | Individual |
| Full Name | MRS. JAIMIE DESROCHE REVON |
| Credential | LPN |
| Practice Address |
700 Gause Blvd Ste 201 Slidell LA 70458-2853 |
| Practice Telephone | 5043306670 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 2-0160813 | LA | Nursing Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1881864 | 05 |
| Street Address |
700 GAUSE BLVD STE 201 |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-2853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063893444 | Gayla Grigsby-robinson | Case Manager/Care Coordinator | 700 Gause Blvd Ste 201, Slidell, LA 70458 | 2015-06-11 |
| 1811515828 | Kathryn Ann Buklad | Registered Nurse | 700 Gause Blvd Ste 201, Slidell, LA 70458-2853 | 2020-07-07 |
| 1508336769 | Shannon Donaghey Singleton | Registered Nurse | 700 Gause Blvd Ste 201, Slidell, LA 70458-2853 | 2018-11-30 |
| 1962971325 | Jennifer Lynn Foster Deblanc | Registered Nurse | 700 Gause Blvd Ste 201, Slidell, LA 70458-2853 | 2018-11-15 |
| 1972081362 | Jennifer Ann Gonzalez | Licensed Practical Nurse | 700 Gause Blvd Ste 201, Slidell, LA 70458-2853 | 2018-07-30 |
| 1831676204 | Donita Evans | Case Manager/Care Coordinator | 700 Gause Blvd Ste 201, Slidell, LA 70458-2853 | 2018-07-27 |
| 1144738287 | Tia Alexandra Heno | Licensed Practical Nurse | 700 Gause Blvd Ste 201, Slidell, LA 70458-2853 | 2018-01-10 |
| 1902275100 | Christopher Ray Collins | Substance Abuse Rehabilitation Facility | 700 Gause Blvd Ste 201, Slidell, LA 70458 | 2015-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837087 | Brison Shelton | Case Manager/Care Coordinator | 35581 Devon Dr, Slidell, LA 70460-5801 | 2020-10-05 |
| 1588211742 | Teaira L Armstrong | Case Manager/Care Coordinator | 2007 Churchill St, Slidell, LA 70461-4807 | 2019-08-22 |
| 1760943849 | Naomi Luann Brower | Case Manager/Care Coordinator | 101 Doubloon Dr, Slidell, LA 70461-2714 | 2019-03-29 |
| 1184196321 | Guillermo Pina | Case Manager/Care Coordinator | 516 Bradford Dr, Slidell, LA 70461-4910 | 2018-12-28 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1487170429 | Mary Tobias | Case Manager/Care Coordinator | 901 Old Spanish Trl Apt 12, Slidell, LA 70458-5010 | 2017-08-22 |
| 1356711998 | Kristina Mumphrey | Case Manager/Care Coordinator | 3272 Reine Ave, Slidell, LA 70458-5032 | 2015-09-25 |
| 1063893444 | Gayla Grigsby-robinson | Case Manager/Care Coordinator | 700 Gause Blvd Ste 201, Slidell, LA 70458 | 2015-06-11 |
| 1265702310 | Laura Elizabeth Andrews | Case Manager/Care Coordinator | 130 S Military Rd, Slidell, LA 70461-4157 | 2012-01-06 |
| 1942508064 | Cachanda Williams | Case Manager/Care Coordinator | 305 Almond Creek St, Slidell, LA 70461-3303 | 2011-03-14 |
| Find all providers in SLIDELL | ||||
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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.