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DWAYNE JETER SR.
NPI 1487100194
Case Manager/Care Coordinator in Shreveport, LA

Active since September 01, 2016
7505 PINES RD STE 1200I, SHREVEPORT, LA 71129(318) 716-1707 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2018, Sep 1, 2016 (2 updates tracked since 2016).

About Dwayne Jeter Sr. NPPES

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

DWAYNE JETER SR. (NPI 1487100194) is an individual case manager/care coordinator provider in Shreveport, Louisiana and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1487100194
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDWAYNE JETER SR.
Location Address7505 PINES RD STE 1200IShreveport, LA 71129-3900
Mailing AddressPo Box 104Elysian Fields, TX 75642-0104 · (903) 503-3111
Phone(318) 716-1707
Sole ProprietorYes
Enumeration DateSeptember 1, 2016
Last NPPES UpdateDecember 5, 20182 updates tracked since enumeration
✔ NPI 1487100194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
7505 PINES RD STE 1200I, Shreveport, LA 71129
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Other Providers at the Same Location NPPES 16

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

RAYMOND FITZGERALD HAMPTON
Case Manager/Care Coordinator
7505 PINES RD STE 1200I
SHREVEPORT, LA 71129
Caddo Parish (318) 716-1707
SONYA SHEPHERD
Counselor (Mental Health)
7505 PINES RD STE 1200I
SHREVEPORT, LA 71129
Caddo Parish (318) 268-1214
ARLAINA MOORE
Case Manager/Care Coordinator
7505 PINES RD STE 1200I
SHREVEPORT, LA 71129
Caddo Parish (318) 716-1707
LINIQUA DOUGLAS
Counselor (Professional)
7505 PINES RD STE 1200I
SHREVEPORT, LA 71129
Caddo Parish (318) 716-1707
CONSTANCE JONES LPC
Counselor (Professional)
7505 PINES RD STE 1200I
SHREVEPORT, LA 71129
Caddo Parish (318) 716-1707
JUANESHIA WINN
Case Manager/Care Coordinator
7505 PINES RD STE 1200I
SHREVEPORT, LA 71129
Caddo Parish (318) 716-1707
CLARICE JOHNSON
Case Manager/Care Coordinator
7505 PINES RD STE 1200I
SHREVEPORT, LA 71129
Caddo Parish (318) 716-1707
ERIKA MARIELLE BARRINGTON
Case Manager/Care Coordinator
7505 PINES RD STE 1200I
SHREVEPORT, LA 71129
Caddo Parish (318) 716-1707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dwayne Jeter's NPI number?

The NPI number for Dwayne Jeter is 1487100194. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Dwayne Jeter located?

Dwayne Jeter practices at 7505 Pines Rd Ste 1200I, Shreveport, LA 71129. The listed phone number is (318) 716-1707.

What is Dwayne Jeter's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Dwayne Jeter was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.