MR. KENNETH KARL JACKSON RRT
NPI 1164230694
Respiratory Therapist, Registered in Pineville, LA

Active since December 30, 2024
2495 SHREVEPORT HWY # 71, PINEVILLE, LA 71360(318) 466-2396 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kenneth Karl Jackson Rrt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH KARL JACKSON RRT (NPI 1164230694) is an individual respiratory therapist, registered in Pineville, Louisiana, licensed in Louisiana (CRT200406) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1164230694
Entity TypeIndividualMale
Primary Taxonomy227900000X
Provider Legal NameMR. KENNETH KARL JACKSONCredential: RRT
Location Address2495 SHREVEPORT HWY # 71Pineville, LA 71360-4044
Mailing Address5503 Hall StAlexandria, LA 71303-3918 · (337) 780-8667
Sole ProprietorYes
Enumeration DateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
NPI 1164230694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespiratory Therapist, RegisteredRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code227900000X
License Licensed in LA · CRT200406
Definition

A Registered Respiratory Therapist (RRT) is an advanced therapist who has passed standardized written and clinical simulation examinations administered by the National Board for Respiratory Care (NBRC). In addition, to the certified therapist (CRT) entry level skills, RRTs have advanced education and training in patient assessment, in the development and modification of patient care plans, and in assuring the appropriate utilization of respiratory care resources. An RRT is a graduate of an associate or baccalaureate degree producing educational programs approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of that license.

2495 SHREVEPORT HWY # 71, Pineville, LA 71360

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
2495 SHREVEPORT HWY # 71
PINEVILLE, LA 71360
Orthotist
2495 SHREVEPORT HWY # 71
PINEVILLE, LA 71360
Speech-Language Pathologist
2495 SHREVEPORT HWY # 71
PINEVILLE, LA 71360
Dietitian, Registered
2495 SHREVEPORT HWY # 71
PINEVILLE, LA 71360
Dietitian, Registered
2495 SHREVEPORT HWY # 71
PINEVILLE, LA 71360
Social Worker (Clinical)
2495 SHREVEPORT HWY # 71
PINEVILLE, LA 71360
Psychologist (Counseling)
2495 SHREVEPORT HWY # 71
PINEVILLE, LA 71360
Psychologist (Clinical)
2495 SHREVEPORT HWY # 71
PINEVILLE, LA 71360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164230694, enumerated as an "individual" on December 30, 2024.

The provider is located at 2495 SHREVEPORT HWY # 71 PINEVILLE, LA 71360 and the phone number is (318) 466-2396.

Respiratory Therapist, Registered with taxonomy code 227900000X.