Active NPI
Jared Wakeman, MD
- Psychiatry Physician
- New Orleans, LA
National Provider Identifier
1821258302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 204702
- Practice address
- 2601 Tulane Ave
New Orleans, LA 70119-7462 - Phone
- (504) 821-2601
- Fax
- (504) 267-3014
- NPI assigned
- Jun 10, 2008
- Last updated
- Sep 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 204702 | LA | Primary |
Addresses
Primary practice location
2601 Tulane Ave
New Orleans, LA 70119-7462
Mailing address
2601 Tulane Ave
New Orleans, LA 70119-7462
Phone (504) 821-2601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2396030 | Medicaid | LA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204702 | LA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1821258302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 TULANE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701197462",
"telephone_number": "504-821-2601",
"fax_number": "504-267-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 TULANE AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701197462",
"telephone_number": "504-821-2601",
"fax_number": "504-267-3014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAKEMAN",
"first_name": "JARED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "204702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2396030",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
- Joshua Zaky Wahba, MD
- Azka Waheed, RBT
- Najia Waheed, M.D
- Valarie Wajda-Johnston, PHD
- Charisse Wakeland, LOTR
- Wal-Mart Louisiana, LLC (Wal-Mart Pharmacy 10-5022)
- Wal-Mart Stores East , LP (Walmart Pharmacy 10-5022)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-3167)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1163)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0912)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.