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KYREAL JACKSON
NPI 1619629318
Case Manager/Care Coordinator in Thibodaux, LA

Active since January 24, 2022
1418 TIGER DR, THIBODAUX, LA 70301(985) 449-4055 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kyreal Jackson NPPES

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

KYREAL JACKSON (NPI 1619629318) is an individual case manager/care coordinator provider in Thibodaux, Louisiana and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1619629318
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameKYREAL JACKSON
Location Address1418 TIGER DRThibodaux, LA 70301-4337
Mailing Address1418 Tiger DrThibodaux, LA 70301-4337 · (985) 449-4055
Phone(985) 449-4055
Sole ProprietorNo
Enumeration DateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1619629318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1418 TIGER DR, Thibodaux, LA 70301
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Other Providers at the Same Location NPPES 20

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

MATTHEW DISEDARE
Case Manager/Care Coordinator
1418 TIGER DR
THIBODAUX, LA 70301
Lafourche Parish (985) 449-4055
SARAH-CATHERINE BERNARD BA
Case Manager/Care Coordinator
1418 TIGER DR
THIBODAUX, LA 70301
Lafourche Parish (985) 449-4055
JUDE COOMER BA
Case Manager/Care Coordinator
1418 TIGER DR
THIBODAUX, LA 70301
Lafourche Parish (985) 449-4055
CAROLYN KENNEDY
Case Manager/Care Coordinator
1418 TIGER DR
THIBODAUX, LA 70301
Lafourche Parish (985) 449-4055
AZORIA LLOYD PLPC
Counselor (Professional)
1418 TIGER DR
THIBODAUX, LA 70301
Lafourche Parish (985) 449-4055
TONYA JEAN CALDWELL
Case Manager/Care Coordinator
1418 TIGER DR
THIBODAUX, LA 70301
Lafourche Parish (985) 449-4055
MIA NICOLE FORET
Case Manager/Care Coordinator
1418 TIGER DR
THIBODAUX, LA 70301
Lafourche Parish (985) 449-4055
GERALYN NIXON
Case Manager/Care Coordinator
1418 TIGER DR
THIBODAUX, LA 70301
Lafourche Parish (985) 713-3209

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 Kyreal Jackson's NPI number?

The NPI number for Kyreal Jackson is 1619629318. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Where is Kyreal Jackson located?

Kyreal Jackson practices at 1418 Tiger Dr, Thibodaux, LA 70301. The listed phone number is (985) 449-4055.

What is Kyreal Jackson'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 Kyreal Jackson was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.