JESSICA ROSSELOT (NPI# 1255727533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255727533 |
| Entity Type | Individual |
| Full Name | JESSICA ROSSELOT |
| Credential | M.D. |
| Practice Address |
2365 Gause Blvd E Slidell LA 70461-4142 |
| Practice Telephone | 9856431194 |
| Practice Fax Number | 9856438869 |
| Mailing Telephone | 9856431194 |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 319981 | LA | Other Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | LA | Student, Health Care |
| Street Address |
2365 GAUSE BLVD E |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225090368 | Jeanne F Eddington | Specialist | 2365 Gause Blvd E, Slidell, LA 70461-4142 | 2006-04-04 |
| 1669697157 | Eddington, Slocum & Berault | Specialist | 2365 Gause Blvd E, Slidell, LA 70461-4142 | 2007-04-17 |
| 1013089424 | Gregory L. Berault | Specialist | 2365 Gause Blvd E, Slidell, LA 70461-4142 | 2006-11-14 |
| 1669542437 | P. Douglas Slocum | Specialist | 2365 Gause Blvd E, Slidell, LA 70461-4142 | 2006-11-09 |
| 1396794418 | Robert A Eddington | Specialist | 2365 Gause Blvd E, Slidell, LA 70461-4142 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154609667 | Allied Pain Management Services LLC | Specialist | 1425 Fremaux Ave Ste A, Slidell, LA 70458-3150 | 2011-08-01 |
| 1881890838 | Michelle Schlecht Carlson | Specialist | 58363 Liberty Dr, Slidell, LA 70460-3115 | 2007-06-26 |
| 1801007307 | Dura Mater, Inc | Specialist | 700 Gause Blvd, Suite 201, Slidell, LA 70458-2800 | 2007-05-25 |
| 1942357900 | Harold Robert Neitzschman IIi | Specialist | 1850 Gause Blvd E Ste 102, Slidell, LA 70461-5434 | 2007-01-04 |
| 1265528574 | Allan Garigue Cougle | Specialist | 107 Smart Place, Slidell, LA 70458-2039 | 2006-10-05 |
| 1528150646 | Michael Thomas Karam | Specialist | 2750 East Gause Blvd., Slidell, LA 70461-4149 | 2006-09-28 |
| 1275552986 | Maynard Ernest Garrett Jr. | Specialist | 985 Robert Blvd Ste 104, Slidell, LA 70458-2063 | 2006-07-19 |
| 1730110263 | Joseph B. Boucree Jr. | Specialist | 1570 Lindberg Dr Ste 8, Slidell, LA 70458-8084 | 2006-07-05 |
| 1558301093 | Slidell Memorial Hospital | Specialist | 1120 Robert Blvd. Suite 100, Slidell, LA 70458 | 2006-06-06 |
| 1225090368 | Jeanne F Eddington | Specialist | 2365 Gause Blvd E, Slidell, LA 70461-4142 | 2006-04-04 |
| Find all providers in SLIDELL | ||||
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| 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.