Peace Outpost

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Legal business name

PEACE OUTPOST

Doing business as

Peace Outpost

Practice address

1423 E Willow St Apt 5
Lafayette, LA 70501-3834

Phone

(337) 254-0675

NPI assigned

Jul 26, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kyle Jackson

Title

Medical Officer

Phone

(720) 335-5339

Specialties & licenses 1

Addresses

Other names 1

• PEACE OUTPOST Doing business as

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

{
    "created_epoch": "1753488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753488000000",
    "number": "1396628681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 N 4TH ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708025342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 E WILLOW ST APT 5",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705013834",
            "telephone_number": "337-254-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OUTPOST",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-26",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "MEDICAL OFFICER",
        "authorized_official_telephone_number": "720-335-5339",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACE OUTPOST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul M. Toce, Jr., Apmc
• Krystal Paulson, RN
• Mateja Pavlic
• Realitee Payne
• Taylor Payne
• Brandy R Peacock, NP
• Peak Medical Partners, LLC
• Brooklyn Pearce, MA, CCC-SLP
• James Allen Pearce, D.D.S.
• Shelby Lowery Pearce, LPC

• Independent Duty Medical Technicians in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Independent Duty Medical Technicians in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; 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.