Active NPI
Macy Noelle Jackel, MA, CF-SLP
- Speech-Language Pathologist
- Covington, LA
National Provider Identifier
1003387374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 330 Falconer Dr Ste D
Covington, LA 70433-8211 - Phone
- (985) 900-2305
- NPI assigned
- Dec 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
330 Falconer Dr Ste D
Covington, LA 70433-8211
Mailing address
PO Box 9170
Mandeville, LA 70470-9170
Phone (504) 419-7004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547596800000",
"number": "1003387374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9170",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704709170",
"telephone_number": "504-419-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 FALCONER DR STE D",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704338211",
"telephone_number": "985-900-2305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKEL",
"first_name": "MACY",
"middle_name": "NOELLE",
"credential": "MA, CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-16",
"last_updated": "2019-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, LA
- Isd Renal Inc
- Rodney Isolani, DDS
- Clifton O Istre, PHD
- Michael A Iverson, M.D.
- Gladys Alejandra Izaguirre-Juarez, M.D.
- Sidney M Jackler, MPA, PA-C
- Julia Jackson, PHARMD, RPH
- Jacob Dent, D.D.S., Covington Dental Group, a Professional Corporation
- Gregory Jacob Jr., MD
- Maeghan Fields Jacob, LCSW-BACS, OSW-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.