Individual provider Active NPI

Jessica Nichols

  • Social Worker
  • Gretna, LA
National Provider Identifier
1497318505
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
401 Whitney Ave Ste 135
Gretna, LA 70056-2577
Phone
(504) 362-0504
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X Primary

Addresses

Primary practice location

401 Whitney Ave Ste 135
Gretna, LA 70056-2577

Mailing address

2716 Gallo Dr
Chalmette, LA 70043-3714
Phone (504) 317-8897

Other practice location 1

2626 Charles Dr Ste 211
Chalmette, LA 70043-3779
Phone (504) 278-4006

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jnichols.alifechoice@yahoo.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
Creed Group of Louisiana LLC PastSince Mar 13, 2019 Accepting new patients
TGC Learning Center PastSince Oct 1, 2019 Accepting new patients
The Guidance Center Inc PastSince Oct 1, 2019 Accepting new patients
A Life Choice for Personal Enhancement, LLC PastSince Apr 26, 2020 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1497318505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 GALLO DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700433714",
            "telephone_number": "504-317-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WHITNEY AVE STE 135",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700562577",
            "telephone_number": "504-362-0504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2626 Charles Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Chalmette",
            "state": "LA",
            "postal_code": "700433779",
            "country_code": "US",
            "telephone_number": "504-278-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jnichols.alifechoice@yahoo.com",
            "affiliation": "N",
            "address_1": "401 Whitney Ave Ste 135",
            "city": "Gretna",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700562577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.