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Jackson Street Pediatrics, LLC

Pediatrics Physician in Alexandria, LA · enumerated 2020 · authorized official Kai Wicker-Brown, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205454774

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Registry record

Entity type Organization (Type 2)
Legal business name Jackson Street Pediatrics, LLC
Practice address 5716 Jackson St, Alexandria, LA, 71303
Phone (318) 767-6503
Fax (318) 703-8257
Enumeration date Jul 10, 2020
Last updated in NPPES Jul 10, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kai Wicker-Brown
Title Owner
Phone (313) 300-3637

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Jackson Street Pediatrics, LLC?
The NPI for Jackson Street Pediatrics, LLC is 1205454774, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Jackson Street Pediatrics, LLC?
NPPES lists Kai Wicker-Brown (Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-07-10.