Individual provider Active NPI

Jovan Andre Pickney I, HAIR LOSS SPECIALIST

  • Prosthetics Case Management
  • Marrero, LA
National Provider Identifier
1740797679
Registry record updated Dec 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
Practice address
7605 Westbank Expy Ste D
Marrero, LA 70072-2367
Phone
(504) 904-9906
NPI assigned
Dec 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X Primary

Addresses

Primary practice location

7605 Westbank Expy Ste D
Marrero, LA 70072-2367

Mailing address

748 Wayne Ave
Westwego, LA 70094-4012
Phone (504) 904-9906

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": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514592000000",
    "number": "1740797679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 WAYNE AVE",
            "city": "WESTWEGO",
            "state": "LA",
            "postal_code": "700944012",
            "telephone_number": "504-904-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 WESTBANK EXPY STE D",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722367",
            "telephone_number": "504-904-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKNEY",
        "first_name": "JOVAN",
        "middle_name": "ANDRE",
        "name_suffix": "I",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-30",
        "last_updated": "2017-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.