JAN E. WHITAKER (NPI# 1265972095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265972095 |
| Entity Type | Individual |
| Full Name | JAN E. WHITAKER |
| Credential | MPH |
| Practice Address |
2525 Youree Dr Shreveport LA 71104-3671 |
| Mailing Address |
Po Box 18242 Shreveport LA 71138-1242 |
| Practice Telephone | 3185184996 |
| Mailing Telephone | 3185184996 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 5379 | LA | Behavioral Health & Social Service Providers |
| Street Address |
2525 YOUREE DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-3671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427137074 | Rehabilitation Services of Northwest Louisiana, LLC | Clinic/Center | 2525 Youree Dr, Suite 110, Shreveport, LA 71104-3600 | 2006-11-03 |
| 1578072740 | Darrell Dewarren Scott | Counselor | 2525 Youree Dr, 110, Shreveport, LA 71104 | 2017-09-20 |
| 1952832248 | Catherine Michelle Buffington | Counselor | 2525 Youree Dr, Suite 110, Shreveport, LA 71104 | 2017-03-27 |
| 1073056982 | Charlotte Thomas | Counselor | 2525 Youree Dr, Suite 110, Shreveport, LA 71104-3671 | 2016-11-25 |
| 1780127787 | Debra Meadors | Counselor | 2525 Youree Dr, Apt 54, Shreveport, LA 71104-3671 | 2016-11-22 |
| 1770025256 | Jeanette Henderson | Counselor | 2525 Youree Dr, Shreveport, LA 71104-3671 | 2016-11-15 |
| 1598215592 | Irene Kien Che | Counselor | 2525 Youree Dr, Suite 110, Shreveport, LA 71104-3671 | 2016-10-13 |
| 1235689829 | Randi Reyes | Social Worker | 2525 Youree Dr, Ste 110, Shreveport, LA 71104-3671 | 2016-10-07 |
| 1952855967 | Carla Amer | Counselor | 2525 Youree Dr, Ste # 110, Shreveport, LA 71104-3671 | 2016-08-08 |
| 1285188250 | Lacey Anne David | Counselor | 2525 Youree Dr, Suite 110, Shreveport, LA 71104-3671 | 2016-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073826186 | Roquel A Williams | Clinical Neuropsychologist | 566 E 71st St, Shreveport, LA 71106-4404 | 2010-07-17 |
| 1649370495 | Samuel Webb Sentell | Clinical Neuropsychologist | 649 Millicent Way, Shreveport, LA 71106 | 2006-09-22 |
| 1386612042 | Ronald A. Goebel | Clinical Neuropsychologist | 3341 Youree Dr Ste 20a, Shreveport, LA 71105-2149 | 2006-03-09 |
| 1912145640 | Tiffany Ann Jennings | Clinical Neuropsychologist | 920 Pierremont Rd, Ste 205, Shreveport, LA 71106-2093 | 2009-02-03 |
| 1588858104 | Comprehensive Assessments, Inc | Clinical Neuropsychologist | 4300 Youree Dr, Suite 200 Building 2, Shreveport, LA 71105-3329 | 2007-08-28 |
| 1760536510 | Thomas E Staats | Clinical Neuropsychologist | 4300 Youree Dr, Suite 200, Shreveport, LA 71105-3329 | 2007-01-22 |
| 1174534259 | John Nicholson Leavitt | Clinical Neuropsychologist | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-08-11 |
| 1609809912 | James B Pinkston | Clinical Neuropsychologist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841776077 | Anneliese Catherine Boettcher | Clinical Neuropsychologist | 1514 Jefferson Hwy Fl 6, New Orleans, LA 70121-2429 | 2018-07-11 |
| 1013392869 | Kimberly S Hutchinson | Clinical Neuropsychologist | 1 Lakeshore Dr Ste 1610, Lake Charles, LA 70629-0117 | 2015-07-22 |
| 1184967499 | Julie Anne Alvarez | Clinical Neuropsychologist | 1555 Poydras St Ste 1200, Southeast Louisiana Veterans Health Care System, New Orleans, LA 70112-3710 | 2013-04-04 |
| 1003165069 | Dian Evans | Clinical Neuropsychologist | 7000 Magazine St, New Orleans, LA 70118-4876 | 2012-09-06 |
| 1295974210 | Gina Lynn Gibson | Clinical Neuropsychologist | 1602 W Pinhook Rd Ste 303, Lafayette, LA 70508-3735 | 2009-02-14 |
| 1508072216 | John Truman Fanning | Clinical Neuropsychologist | 4440 Canal Street, New Orleans, LA 70119-6021 | 2007-05-16 |
| 1265586085 | Psychological Resources, P.C. | Clinical Neuropsychologist | 5 Platt Dr, Kenner, LA 70065-1018 | 2007-01-22 |
| 1194877811 | Karen Rinardo Speier | Clinical Neuropsychologist | 650 Steele Boulevard, Baton Rouge, LA 70806-5742 | 2007-01-16 |
| 1114012614 | Vincent Anthony Escandell | Clinical Neuropsychologist | 2495 Shreveport, Highway 71 North, Pineville, LA 71360 | 2006-10-03 |
| 1083637698 | James W. Quillin | Clinical Neuropsychologist | 1016 Calais Cir, Alexandria, LA 71303-2307 | 2006-07-25 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on JAN E. WHITAKER.
| 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.