IndividualActive
Revis Jackson
NPI 1356936504 · Case Manager/Care Coordinator · Hammond
Revis Jackson is a Case Manager/Care Coordinator provider in Hammond (NPI 1356936504).
Provider details
- NPI number
- 1356936504
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
67% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1102 Commercial Drive
Hammond, 70403
Phone: (985) 662-3799
Approximate (ZIP-level) locationGet directions
Mailing address
1102 Commercial Dr
Hammond, LA 70403-5954
Registry dates
- Enumerated
- 2021-03-09
- Last updated
- 2021-03-09
- Certified
- 2021-03-09
Frequently asked questions
- What is Revis Jackson's NPI number?
- Revis Jackson's National Provider Identifier (NPI) is 1356936504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Revis Jackson's specialty?
- Revis Jackson is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Revis Jackson located?
- Revis Jackson's practice location on file with NPPES is 1102 Commercial Drive, Hammond, 70403.
- What is Revis Jackson's phone number?
- The practice phone number listed in the NPPES registry for Revis Jackson is (985) 662-3799.
- Is Revis Jackson's NPI active?
- Yes — Revis Jackson's NPI (1356936504) is active in the NPPES registry as of the last update on 2021-03-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.