MS. TRACIE DENEICE JACKSON (NPI# 1518997196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518997196 |
Entity Type | Individual |
Full Name | MS. TRACIE DENEICE JACKSON |
Credential | MA, PC2 |
Practice Address |
6005 Financial Plz Shreveport LA 71129-2615 |
Practice Telephone | 3186322040 |
Practice Fax Number | 3186322073 |
Mailing Telephone | 3186322040 |
Mailing Fax Number | 3186322073 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
3384 | LA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932458346 | Tracie Lynn Jackson | Nurse Practitioner | 740 S Limestone St Perioperative Services, Suite J111, Lexington, KY 40536-0200 | 2012-08-30 |
1982883609 | Tracie Jackson | Dentist | 1507 W League City Pkwy Ste 100, League City, TX 77573-7340 | 2007-10-30 |
1275181414 | Tracie Latrice Jackson | Chore Provider | 3620 N Rancho Dr Ste 117, Las Vegas, NV 89130-3154 | 2019-08-30 |
1184167751 | Tracie Jackson | Physical Therapy Assistant | 6300 Sw 6th Ave, Topeka, KS 66615-1013 | 2016-11-29 |
1487948154 | Tracie Lashelle Jackson | Physical Therapist | 10101 Park Rowe Ave, Ste. 200, Baton Rouge, LA 70810-1686 | 2011-05-31 |
1982807715 | Tracie Lee Jackson | Dietitian, Registered | 8601 W Dodge Rd, Suite # 30, Omaha, NE 68114-3457 | 2007-06-08 |
Street Address |
6005 FINANCIAL PLZ |
City | SHREVEPORT |
State | LA |
Zip Code | 71129-2615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912950957 | Jeri Lynn Rasch | Psychiatry & Neurology | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2006-05-19 |
1093984957 | Heather Kleckinger | Counselor | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2008-02-25 |
1336346824 | Kenneth Joseph Armand | Counselor | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2007-06-28 |
1083811673 | Me'chelle Yvette Allen | Counselor | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2007-06-28 |
1316144967 | Michelle Marshall | Counselor | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2007-06-28 |
1912043324 | Cindy Ann Thomas | Counselor | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2007-01-30 |
1952456436 | Allison French Patterson | Social Worker | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2007-01-24 |
1528098043 | Larry L Carper | Counselor | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2006-07-03 |
1982634408 | Alice Mae King | Social Worker | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2006-07-03 |
1255361812 | Robert E Boyd | Counselor | 6005 Financial Plz, Shreveport, LA 71129-2615 | 2006-07-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184241739 | D&d Transportation Agency LLC | Non-emergency Medical Transport (VAN) | 6171 Bert Kouns Industrial Loop, Apt D100, Shreveport, LA 71129 | 2020-06-30 |
1013407006 | Kimron Smith | Counselor | 7550 Pines Road Suite 1115, Shreveport, LA 71129 | 2018-05-15 |
1801383518 | Latarsha Parker | Counselor | 6009 Financial Plaza, Suite 105, Shreveport, LA 71129 | 2018-04-18 |
1003317652 | Demarkus Webb | Case Manager/Care Coordinator | 6117 Newton Abbott Dr, Shreveport, LA 71129 | 2018-02-27 |
1073024014 | Charnita Thomas | Case Manager/Care Coordinator | 5610 Buncombe Rd Apt 504, Shreveport, LA 71129 | 2017-10-17 |
1578073334 | Keyon Williams | Counselor | 7000 Red Fox Trail, Shreveport, Shreveport, LA 71129 | 2017-10-06 |
1689193765 | Beranna R Smith | Physical Therapy Assistant | 8186 Dance Dr., Shreveport, LA 71129 | 2017-09-11 |
1699204982 | Bac Foundation | Community/Behavioral Health | 8500 Pines Rd 19, Shrevepot, LA 71129 | 2017-06-08 |
1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
1538692496 | Dale Smith | Counselor | 5925 Dexter Pl, Shreveport, LA 71129 | 2017-04-07 |
Find all providers in zip 71129 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801409313 | Divine Behavioral Health, LLC | Counselor | 8870 Youree Dr Ste 105, Shreveport, LA 71115-2512 | 2020-08-25 |
1912519083 | Tashara D Williams | Counselor | 3615 Crestview Cir, Shreveport, LA 71119-6522 | 2020-08-20 |
1528689213 | Whitfield Counseling Services | Counselor | 2924 Knight St Ste 410, Shreveport, LA 71105-2413 | 2020-05-04 |
1376172908 | Lajuana Stephens | Counselor | 7318 Winder Dr, Shreveport, LA 71129-4013 | 2020-04-06 |
1417503723 | Beyond The Crossroads Counseling Center, LLC | Counselor | 3321 Youree Dr Ste E, Shreveport, LA 71105-2123 | 2019-08-13 |
1336702950 | Terrance Toney Sr. | Counselor | 272 E 78th St, Shreveport, LA 71106-5602 | 2019-04-18 |
1922564327 | Briana A Craige | Counselor | 6009 Financial Plz # 102, Shreveport, LA 71129-2615 | 2019-02-11 |
1518434182 | Road To Change | Counselor | 2620 Centenary Blvd Ste 204, Shreveport, LA 71104-3350 | 2018-10-31 |
1619455649 | Kindled Keys of Counseling, LLC | Counselor | 1737 Boykin Blvd, Shreveport, LA 71107-6108 | 2018-08-01 |
1174040646 | Khakillya Babers Everett | Counselor | 8214 Green Leaf Ln, Shreveport, LA 71108-5738 | 2017-08-25 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71129 |
Please comment or provide details below to improve the information on MS. TRACIE DENEICE 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.