Active NPI
Keisha Lashon Jackson, NRCMA
- Home Health Aide
- Shreveport, LA
National Provider Identifier
1609515311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 146 Chelsea Dr
Shreveport, LA 71105-4206 - Phone
- (318) 996-8995
- NPI assigned
- Jun 1, 2022
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | LA | ||
| Home Health Aide | 374U00000X | LA | Primary |
Addresses
Primary practice location
146 Chelsea Dr
Shreveport, LA 71105-4206
Mailing address
146 Chelsea Dr
Shreveport, LA 71105-4206
Phone (318) 996-8995
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1609515311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 CHELSEA DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054206",
"telephone_number": "318-996-8995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 CHELSEA DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711054206",
"telephone_number": "318-996-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "KEISHA",
"middle_name": "LASHON",
"credential": "NRCMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-01",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "LA",
"license": null,
"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 Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.