Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1932682358 Individual Practitioner Female Practitioner

Evian Michelle Jackson

Speech-Language Pathologist • Baton Rouge, LA

Professional Overview & Biography Verified Profile Summary

Evian Jackson is a registered healthcare professional specializing in Speech-Language Pathologist in Baton Rouge, LA. Practice services are available at 4055 PRESCOTT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4055 Prescott Rd

Baton Rouge, LA 708055146

Telephone 2253722037
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Baton Rouge, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
398 Specialists

Practicing in Baton Rouge, LA (3335 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-08
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License LA 8233

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
010354707 (LA)

Secondary Practice Locations

36505 Oak Plz Ste B

Prairieville, LA 707693198

Phone: 2254024466

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 08, 2022

Registered at 4055 PRESCOTT RD, BATON ROUGE, LA 708055146 (Tel: 2253722037)

📍
Updated Business Mailing Address August 08, 2022

Registered at 9655 JUDI AVE, BATON ROUGE, LA 708154923 (Tel: 2259384445)

NPI Profile Active September 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2018

Registered at 36505 OAK PLZ STE B, PRAIRIEVILLE, LA 707693198 (Tel: 2254024466)

📍
Updated Business Mailing Address September 11, 2018

Registered at 7200 CYPRESS LAKES APARTMENT BLVD APT 615, BATON ROUGE, LA 708095308 (Tel: 2259384445)

👤
Provider Name / Credentials Updated September 11, 2018

Recorded as EVIAN JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 11, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1932682358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2018
Last Update: August 08, 2022
Sole Proprietor: No

Mailing Address

9655 Judi Ave

Baton Rouge, LA 708154923

Phone: 2259384445

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.