KENNETH DAVID JACKSON JR.


Address: 3901 Ulloa St, New Orleans, LA 70119-6942
Phone: 5042675712

KENNETH DAVID JACKSON JR. (NPI# 1942674411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942674411
Entity Type Individual
Full Name KENNETH DAVID JACKSON JR.
Practice Address 3901 Ulloa St
New Orleans
LA 70119-6942
Practice Telephone 5042675712
Practice Fax Number 5042675714
Mailing Telephone 5042675712
Mailing Fax Number 5042675714
Enumeration Date 2015-11-21
Last Update Date 2015-11-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers KENNETH JACKSON

NPI Name Taxonomy Address Enumeration
1174083810 Kenneth Jason Jackson Student in an Organized Health Care Education/Training Program 320 23rd St S Apt 1418, Arlington, VA 22202-3773 2019-03-20
1639469026 Kenneth T Jackson Counselor 25506 Virginia Dr, Warren, MI 48091-6002 2011-04-19
1396968863 Kenneth J Jackson Dentist 809 Redskin Trail, Wapakoneta, OH 45895 2007-04-11
1972510352 Kenneth Wayne Jackson Nurse Practitioner 1811 Memorial Dr, Clarksville, TN 37043-4604 2006-08-01
1487606943 Kenneth Wade Jackson Jr. Obstetrics & Gynecology 22 Manningfield Dr, Fletcher, NC 28732-9457 2006-05-16
1275514994 Kenneth Conrad Jackson II Pharmacist 546 Chipeta Way, Suite 220, Salt Lake City, UT 84108-1236 2005-11-09
1407409063 Kenneth Jackson Technician 1005 Terminal Way Ste 125, Reno, NV 89502-2198 2019-07-22
1457857690 Kenneth D Jackson Counselor 2775 State Route 39, Shelby, OH 44875-9466 2018-04-05
1528573714 Kenneth Jackson Case Manager/Care Coordinator 1501 Madison Rd, Walnut Hills, OH 45206-1706 2017-12-10
1003328550 Kenneth Lee Jackson Jr. Counselor 1430 S High St Fl 4, Columbus, OH 43207-1045 2017-10-24

Office Location

Street Address 3901 ULLOA ST
City NEW ORLEANS
State LA
Zip Code 70119-6942

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114367026 Nichole Hawkins Case Manager/Care Coordinator 3901 Ulloa St, New Orleans, LA 70119 2013-06-25
1073159653 Kelvanisha L Williams Case Manager/Care Coordinator 3901 Ulloa St, New Orleans, LA 70119-6942 2019-11-19
1255858767 Isaiah Rudolph Stewart Case Manager/Care Coordinator 3901 Ulloa St, New Orleans, LA 70119 2017-08-25
1851817225 Lejeanne Edmonds Case Manager/Care Coordinator 3901 Ulloa St, New Orleans, LA 70119 2017-08-17
1700315207 Damany Kenyatta Cannon Social Worker 3901 Ulloa St, New Orleans, LA 70119-6942 2017-06-08
1780118158 Lakeisha Andrea Green Counselor 3901 Ulloa St, New Orleans, LA 70119-6942 2017-04-12
1912430232 Brian Midkiff Case Manager/Care Coordinator 3901 Ulloa St, New Orleans, LA 70119 2017-04-04
1962948000 Lakyna Bell Counselor 3901 Ulloa St, New Orleans, LA 70119-6942 2017-01-12
1659814317 Jessica Johnson Case Manager/Care Coordinator 3901 Ulloa St, New Orleans, LA 70119 2016-11-29
1144763871 Wesley Edwards Case Manager/Care Coordinator 3901 Ulloa St, New Orleans, LA 70119 2016-11-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578161105 Mark P Kostelak Perfusionist Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 2020-10-15
1922626365 Shanika Valcour-leduff Nurse Practitioner 535 S Galvez St., New Orleans, LA 70119 2020-07-13
1932723335 Just Health Clinic/Center 2800 Perdido St, New Orleans, LA 70119 2020-06-01
1205460235 Lily Tran Registered Nurse 119 S Galvez Street, New Orleans, LA 70119 2020-02-28
1740823137 Kaylyn Bernard Case Manager/Care Coordinator 2626 Canal St., New Orleans, LA 70119 2019-10-18
1114577954 Alyssia Breion Smith Case Manager/Care Coordinator 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 2019-09-13
1457903387 Brian Steven Goldfarb Dentist 3701 Conti St, Apt #3403, New Orleans, LA 70119 2019-07-11
1013404011 Made Positive, Inc. Community/Behavioral Health 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 2018-04-16
1972008654 Griffin Caballero Brown Student in an Organized Health Care Education/Training Program 520 Jefferson Davis Hwy, New Orleans, LA 70119 2018-03-26
1902300544 Kyle Raymond Hoppens Student in an Organized Health Care Education/Training Program 4502 Saint Ann Street, New Orleans, LA 70119 2018-03-20
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134727514 Shatiya Reshun Williams Case Manager/Care Coordinator 6121 Dauphine St, New Orleans, LA 70117-2109 2020-10-16
1982201547 Keiara Shermetra Cline Case Manager/Care Coordinator 1351 Burbank Dr, New Orleans, LA 70122-2031 2020-10-07
1770199143 Tatyana Henry Case Manager/Care Coordinator 4727 Knight Dr, New Orleans, LA 70127-3329 2020-09-21
1013542398 Leslie Marie Arceneaux Case Manager/Care Coordinator 2732 Saint Anthony St, New Orleans, LA 70119-1153 2020-03-07
1568092880 Shanna Paige Powell Case Manager/Care Coordinator 4107 Maple Leaf Dr, New Orleans, LA 70131-7422 2020-01-26
1396375945 Kathleen Barre Case Manager/Care Coordinator 6500 Elysian Fields Ave, New Orleans, LA 70122 2020-01-23
1457998023 Kechelle Jackson Case Manager/Care Coordinator 1819 Duels St, New Orleans, LA 70119-1110 2019-12-03
1437795580 Chanel Mercadel Case Manager/Care Coordinator 6631 W Laverne St, New Orleans, LA 70126-2504 2019-11-25
1922642933 Renard Jamal Lewis Jr. Case Manager/Care Coordinator 3801 Canal St # S5ite325, New Orleans, LA 70119-6082 2019-11-01
1154965374 Paulette Facianne Case Manager/Care Coordinator 6408 Arts St, New Orleans, LA 70122-5604 2019-10-31
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Competitor

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City NEW ORLEANS
Zip Code 70119

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Dataset Information

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.

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