Shaunte V Jackson, MSN,APRN,FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

225486 Issued in LA

Practice address

1918 Williams Blvd
Kenner, LA 70062-6232

Phone

(504) 471-4860

Fax

(504) 930-4218

NPI assigned

May 11, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

PMR la Holding, LLCGroup PAC ID 7315355062, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as group

Quality

88.07

Improvement activities

40

Cost

74.42

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• PMR la Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1700333689

  LA

  Medicare reassignment Care Compare group NPD
• University Medical Center Management Corporation

  • Family Medicine Physician
  • New Orleans, LA
  • NPI 1083655567
  Medicare reassignment NPD
• University Medical Center Management Corporation

  • Psychiatric Hospital Unit
  • New Orleans, LA
  • NPI 1144261728
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1134575947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626232",
            "telephone_number": "504-471-4860",
            "fax_number": "504-930-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700626232",
            "telephone_number": "504-471-4860",
            "fax_number": "504-930-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHAUNTE",
        "middle_name": "V",
        "credential": "MSN,APRN,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "225486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyce L Ittmann, CRNA
• J&H Cheema LLC
• J&H Cheema LLC
• Demetris Jackson
• Nadranne L Jackson
• Charlene Jacobs
• Ernest James III, MD
• Belinda Hutchinson Janeski, FNP-BC
• Kajal J Jani, PHARM D
• Tameka Jasmine, LCSW-BACS

• Family Nurse Practitioner in Kenner, LA
• Providers in Kenner, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.