Individual provider Active NPI

Jasmine Nelson, RSW

  • Social Worker
  • Mandeville, LA
National Provider Identifier
1487025144
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
13208 Issued in LA
Practice address
600 Mariners Plaza Dr Ste 603
Mandeville, LA 70448-6826
Phone
(985) 465-4250
Fax
(866) 497-7848
NPI assigned
Oct 7, 2015
Last updated
Oct 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 13208 LA Primary

Addresses

Primary practice location

600 Mariners Plaza Dr Ste 603
Mandeville, LA 70448-6826

Mailing address

600 Mariners Plaza Dr Ste 603
Mandeville, LA 70448-6826
Phone (985) 465-4250

Other identifiers 1

IdentifierTypeStateIssuer
600723292MedicaidLA

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

LicenseStateTypeSpecialty
13208LAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1487025144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MARINERS PLAZA DR STE 603",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704486826",
            "telephone_number": "985-465-4250",
            "fax_number": "866-497-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARINERS PLAZA DR STE 603",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704486826",
            "telephone_number": "985-465-4250",
            "fax_number": "866-497-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JASMINE",
        "name_prefix": "Ms.",
        "credential": "RSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "13208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600723292",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.