KATHLEEN JACKSON NPI 1427699685

NPI Record

The following NPI record includes the field values provided by the NPPES as well as the field definition as published in the Federal Register. The complete NPI record is also available for download in text, csv and xml formats.

Field Name Field Value Definition 1
NPI 1427699685 The last name of the provider. If the provider is an individual, this is the legal name.
Entity Type Code 1 The first name of the provider, if the provider is an individual.
Provider Last Name Legal Name JACKSON The middle name of the provider, if the provider is an individual.
Provider First Name KATHLEEN The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
Provider First Line Business Practice Location Address 3788 JACKSON COMMUNITY RD The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Business Practice Location Address City Name VERNON Other last name by which the provider being identified is or has been known.
Provider Business Practice Location Address State Name FL Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the "Provider first name" if the provider is or has been known by a different last name only.
Provider Business Practice Location Address Postal Code 324623440 The other abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Business Practice Location Address Country Code If outside U S US Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider Business Practice Location Address Telephone Number 8505277197 The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Enumeration Date 9/30/2019 The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Last Update Date 9/30/2019 The city name in the location address of the provider being identified.
Provider Gender Code F The State code in the location of the provider being identified.
Healthcare Provider Taxonomy Code 1 3747A0650X The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider License Number State Code 1 FL The country code in the location address of the provider being identified.
Healthcare Provider Primary Taxonomy Switch 1 Y The telephone number associated with the location address of the provider being identified.
Is Sole Proprietor Y The fax number associated with the location address of the provider being identified.
Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP The date the provider was assigned a unique identifier (assigned an NPI).

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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