The Jackson Group, LLC

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

Legal business name

THE JACKSON GROUP, LLC

Doing business as

Laughter in Your Belly Wellness

Practice address

3608 President Davis Dr
Baton Rouge, LA 70816-2947

Phone

(225) 421-6772

Fax

(225) 308-8909

NPI assigned

Aug 10, 2017

Organization subpart

No

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

Authorized official

Name

Rolanda Gayle Young, JD, NMP, QRANPI 1811412943

Title

Owner

Phone

(225) 421-6772

Specialties & licenses 1

Addresses

Other names 1

• Laughter in Your Belly Wellness Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rolanda Gayle Young

  • Nutrition Education Nutritionist
  • Baton Rouge, LA
  • NPI 1811412943
  NPD Authorized official

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502323200000",
    "number": "1639694763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 PRESIDENT DAVIS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162947",
            "telephone_number": "225-421-6772",
            "fax_number": "225-308-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3608 PRESIDENT DAVIS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162947",
            "telephone_number": "225-421-6772",
            "fax_number": "225-308-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE JACKSON GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROLANDA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-421-6772",
        "authorized_official_credential": "JD, NMP, QRA"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laughter in Your Belly Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Baton Rouge, LA by specialty
• Medical Foods Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.