TYMESHIA MICHELLE JACKSON — NPI 1790649382 (Licensed & Credentialed Taxi in INDEPENDENCE, LA)

CMS-1500 Box 24J / 33a • NPI

1790649382

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

344600000X

Licensed & Credentialed Taxi

Box 32 Service Location & ZIP+4

54023 WHITPALM DR # B, INDEPENDENCE, LA, 70443-3123

✓ 9-Digit EDI 837 ZIP+4 (70443-3123)

Practice Phone & Referral Fax

(985) 306-2788

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1790649382 (TYMESHIA MICHELLE JACKSON) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1790649382` (NPI-1 Individual Practitioner)
Provider / Legal Name	TYMESHIA MICHELLE JACKSON
Plain-English Specialty	Licensed & Credentialed Taxi NUCC Code: `344600000X` (Taxi)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	54023 WHITPALM DR # B, INDEPENDENCE, LA, 70443-3123
Practice Telephone / Fax	Tel: (985) 306-2788
Administrative Mailing Address	3014 DAUPHINE ST STE A, NEW ORLEANS, LA, 70117-6755
Enumeration & Last Sync	Enumerated: 2025-12-10 \| CMS Record Updated: 2025-12-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

54023 WHITPALM DR # B, INDEPENDENCE, LA, 70443-3123

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Plain-English Taxonomy & CMS Crosswalk (344600000X)

What Does Taxonomy Code 344600000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 344600000X translates to:
"Licensed & Credentialed Taxi"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Taxi for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (TYMESHIA MICHELLE JACKSON)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`344600000X` — Taxi Plain English: Licensed & Credentialed Taxi	State: LA \| License: `01030048` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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TYMESHIA MICHELLE JACKSON (NPI #1790649382)