Patrice Parker Jefferson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

9377 Issued in LA

Practice address

3330 Canal St
New Orleans, LA 70119-6206

Phone

(504) 827-2701

Fax

(504) 827-2714

NPI assigned

Oct 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1346525367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196206",
            "telephone_number": "504-827-2701",
            "fax_number": "504-827-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196206",
            "telephone_number": "504-827-2701",
            "fax_number": "504-827-2714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 Charles Dr",
            "address_purpose": "LOCATION",
            "city": "Chalmette",
            "state": "LA",
            "postal_code": "700433779",
            "country_code": "US",
            "telephone_number": "504-278-4006",
            "fax_number": "504-278-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "PATRICE",
        "middle_name": "PARKER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-21",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "9377",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "9377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346525367",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Jefferson
• Jade D Jefferson
• Kiosha Jefferson, LPC
• Kirsten Jefferson, PHARM.D.
• Maurice Rashad Jefferson
• Terry Jefferson
• Tia Jefferson
• Dane Jeffery, LMSW
• Jeffrey M Schott DDS
• Robert J Jemison, APRN, FNP-BC

• Case Manager/Care Coordinator in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.