TONYA SUE JACKSON (NPI# 1255657243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255657243 |
| Entity Type | Individual |
| Full Name | TONYA SUE JACKSON |
| Credential | M.D. |
| Practice Address |
2006 Gus Kaplan Dr Alexandria LA 71301-3376 |
| Practice Telephone | 3184875395 |
| Practice Fax Number | 3184875463 |
| Mailing Telephone | 3184875395 |
| Mailing Fax Number | 3184875463 |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2010-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
1072 | LA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982065710 | Tonya Elaine Jackson | Speech-Language Pathologist | 11204 Chastain Parc Dr, Charlotte, NC 28216-7662 | 2016-03-07 |
| 1821077579 | Tonya Ward Jackson | Optometrist | 7114 S Mingo Rd, Tulsa, OK 74133-3241 | 2006-01-11 |
| 1609427087 | Tonya L. Jackson | Behavior Technician | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1891032355 | Tonya Marie Jackson | Case Manager/Care Coordinator | 6900 E 10 Mile Rd, Center Line, MI 48015-1168 | 2013-01-03 |
| 1235467945 | Tonya L. Jackson | Licensed Practical Nurse | 3401 N 67th Ave, Phoenix, AZ 85033-4517 | 2009-11-19 |
| Street Address |
2006 GUS KAPLAN DR |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740431568 | Lydia Thibeaux Roy | Counselor | 2006 Gus Kaplan Dr, Suite A, Alexandria, LA 71301-3376 | 2008-10-10 |
| 1336691682 | Dela Case Management | Case Management | 2006 Gus Kaplan Dr, Suite C, Alexandria, LA 71301-3376 | 2016-11-02 |
| 1881974749 | Pinecrest Developmental Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2011-08-24 |
| 1033404595 | Crystal Hundley | Speech-Language Pathologist | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2011-06-13 |
| 1528365517 | Central Louisiana Resource Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2011-02-28 |
| 1952614190 | Pinecrest Developmental Center | Clinic/Center | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2010-07-16 |
| 1376879882 | Jenny Tassin | Speech-Language Pathologist | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2009-10-19 |
| 1225363047 | Ranier Woods-culbert | Physical Therapy Assistant | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2009-10-13 |
| 1861727687 | Melinda Kneipp | Occupational Therapist | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2009-10-13 |
| 1376878736 | Abigail Cutrer | Dietitian, Registered | 2006 Gus Kaplan Dr, Alexandria, LA 71301-3376 | 2009-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124310875 | Quality Life Entereprises, LLC | Psychologist | 75 S Reynolds St Apt G210, Alexandria, VA 22304-3146 | 2011-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199053 | Carolnise Gibson | Psychologist | 353 Stubbs Mccormick Rd, Monroe, LA 71203-9412 | 2020-06-22 |
| 1679734917 | Victoria Cooper Swanson | Psychologist | 200 Kings Cove Cir, Lafayette, LA 70508-0216 | 2008-06-19 |
| 1215149950 | Louisiana Health & Rehabilitation Coptions | Psychologist | 930 Webb St, Lafayette, LA 70501-3930 | 2007-05-04 |
| 1538371240 | Louisiana Health & Rehabilitation Coptions | Psychologist | 1033 N Lobdell Ave, Baton Rouge, LA 70806-2233 | 2007-05-04 |
| 1093376550 | Kimberly Smith Martin | Psychologist | 1539 Jackson Ave Ste 300, New Orleans, LA 70130-5863 | 2019-06-25 |
| 1578968970 | Marc Hendler | Psychologist | 3616 S I 10 Service Rd W, Metairie, LA 70001-1874 | 2014-10-28 |
| 1063787224 | Heather Elise Sterling | Psychologist | 214 Jefferson St, Suite 301, Lafayette, LA 70501-7050 | 2012-03-20 |
| 1578866778 | Donna Aucoin Ph.d & Associates LLC | Psychologist | 5000 Ambassador Caffery Pkwy, Province Bldg 13, Lafayette, LA 70508-6984 | 2010-12-09 |
| 1972750057 | Louisiana Health & Rehabilitation Coptions | Psychologist | 1701 Main St, Baton Rouge, LA 70802-3764 | 2008-08-20 |
| 1003063199 | Louisiana Health & Rehabilitation Coptions | Psychologist | 930 Webb St, Lafayette, LA 70501-3930 | 2008-08-20 |
| Find all providers with the same taxonomy | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
Please comment or provide details below to improve the information on TONYA SUE JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.