MR. JACKIE WAYNE ETHERIDGE APRN, APMHNP
NPI 1740515790
Nurse Practitioner - Psychiatric/Mental Health in Pineville, LA
NPI Status: Active since October 08, 2009
Contact Information
242 WEST SHAMROCK, UNIT 1
PINEVILLE, LA
ZIP 71360
Phone: (318) 484-6850
- Individual
- Male
- Nurse Practitioner
- Psychiatric/Mental Health
About JACKIE ETHERIDGE
This page provides the complete NPI Profile along with additional information for Jackie Etheridge, a provider established in Pineville, Louisiana with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1740515790 assigned on October 2009. The practitioner's primary taxonomy code is 363LP0808X with license number AP05657 (LA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1740515790
- Provider Name
- MR. JACKIE WAYNE ETHERIDGE APRN, APMHNP
- Other Name
- MR. JACK WAYNE ETHERIDGE APRN, APMHNP
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 242 WEST SHAMROCK, UNIT 1 PINEVILLE, LA 71360
- Location Phone
- (318) 484-6850
- Mailing Address
- PO BOX 7473 ALEXANDRIA, LA 71306
- Mailing Phone
- (318) 484-6850
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-08-2009
- Last Update Date
- 10-08-2009
- Code Navigator
A nurse practitioner (NP) like Jackie Etheridge is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- AP05657
- License State
- LA
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 62 times for 16 patientsReviews for MR. JACKIE WAYNE ETHERIDGE APRN, APMHNP
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1740515790, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 60 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740515790, enumerated as an "individual" on October 08, 2009.
The provider is located at 242 WEST SHAMROCK, UNIT 1 PINEVILLE, LA 71360 and the phone number is (318) 484-6850.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
