Feliceon Chrischell Jackson

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

008557011 Issued in LA

Practice address

20 Grand Canyon Dr
New Orleans, LA 70131-8608

Phone

(504) 215-0382

NPI assigned

Jul 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Transportation by Jackson LLC

  • Non-emergency Medical Transport (VAN)
  • Gretna, LA
  • NPI 1952071052
  NPD Authorized official

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1174195754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND CANYON DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701318608",
            "telephone_number": "504-215-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GRAND CANYON DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701318608",
            "telephone_number": "504-215-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "FELICEON",
        "middle_name": "CHRISCHELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "008557011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Jackson
• Donna Michelle Jackson, LPC
• Dreatha Jean Jackson, MA, LPC, NCC
• Elyania F Jackson, MSW
• Eric Winfred Jackson, R.P.T.
• Felicia Jackson
• Germaine Ronkeith Jackson
• Jalisa Jackson
• Janine Jackson, LAC
• Jasmine Jackson

• Non-emergency Medical Transport (VAN) in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.