Active NPI
Jemekia Gayden
- Social Worker
- Shreveport, LA
National Provider Identifier
1427420041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 12386
- Practice address
- 2800 Youree Dr Ste 482
Shreveport, LA 71104-3666 - Phone
- (318) 869-1899
- NPI assigned
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | LA | ||
| Social Worker | 104100000X | 12386 | LA | Primary |
Addresses
Primary practice location
2800 Youree Dr Ste 482
Shreveport, LA 71104-3666
Mailing address
203 Dianne St
West Monroe, LA 71292-6105
Phone (318) 791-8257
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12386 | LA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1427420041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 DIANNE ST",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712926105",
"telephone_number": "318-791-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 YOUREE DR STE 482",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043666",
"telephone_number": "318-869-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYDEN",
"first_name": "JEMEKIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "12386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.