SHANTASIA JACKSON
NPI 1689424426
Student in an Organized Health Care Education/Training Program in Baton Rouge, LA
About Shantasia Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANTASIA JACKSON (NPI 1689424426) is an individual student in an organized health care education/training program in Baton Rouge, Louisiana and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shantasia Jackson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
BATON ROUGE, LA 70806
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 Shantasia Jackson's NPI number?
The NPI number for Shantasia Jackson is 1689424426. It was assigned to this individual provider in the NPPES registry on March 25, 2024.
Where is Shantasia Jackson located?
Shantasia Jackson practices at 3401 North Blvd Ste 200, Baton Rouge, LA 70806. The listed phone number is (225) 381-6620.
What is Shantasia Jackson's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shantasia Jackson enrolled in Medicare?
Yes. Shantasia Jackson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shantasia Jackson was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Shantasia Jackson · NPI 1689424426
Student in an Organized Health Care Education/Training Program provider in Baton Rouge, Louisiana. Individual provider, active in the CMS NPPES registry since March 25, 2024.
## Identity
- **NPI:** 1689424426 (Entity type: Individual)
- **Enumerated:** March 25, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3401 NORTH BLVD STE 200, Baton Rouge, LA 70806-3743
- **Phone:** (225) 381-6620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689424426) · Data from the CMS NPPES public registry.