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DR. KAYDIANNE NUGENT-JACKSON
NPI 1568038826
Counselor - Mental Health in St Petersburg, FL

Active since May 27, 2021PECOS Enrolled
4905 34TH ST S # 182, ST PETERSBURG, FL 33711(727) 252-6343 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kaydianne Nugent-jackson NPPES

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

DR. KAYDIANNE NUGENT-JACKSON (NPI 1568038826) is an individual mental health provider in St Petersburg, Florida, licensed in Florida (MH17633) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1568038826
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDR. KAYDIANNE NUGENT-JACKSON
Location Address4905 34TH ST S # 182St Petersburg, FL 33711-4511
Mailing Address4905 34th St S # 182St Petersburg, FL 33711-4511
Phone(727) 252-6343
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMay 27, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1568038826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH17633
4905 34TH ST S # 182, St Petersburg, FL 33711
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kaydianne Nugent-jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769823038
PECOS Enrollment IDI20240517000498
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kaydianne Nugent-jackson's NPI number?

The NPI number for Kaydianne Nugent-jackson is 1568038826. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Kaydianne Nugent-jackson located?

Kaydianne Nugent-jackson practices at 4905 34th St S # 182, St Petersburg, FL 33711. The listed phone number is (727) 252-6343.

What is Kaydianne Nugent-jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kaydianne Nugent-jackson enrolled in Medicare?

Yes. Kaydianne Nugent-jackson is registered in the Medicare PECOS enrollment system.

What insurance does Kaydianne Nugent-jackson accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan list Kaydianne Nugent-jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaydianne Nugent-jackson was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.