Rachel Alexa Jackson, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

773251 Issued in NY

Practice address

100 Myrtle Ave
Mahopac, NY 10541-4641

Phone

(845) 621-6600

Fax

(845) 628-0644

NPI assigned

Feb 5, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Rachel Alexa Harisch Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1003679762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 JACKSON RD",
            "city": "HOPEWELL JCT",
            "state": "NY",
            "postal_code": "125338608",
            "telephone_number": "845-705-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MYRTLE AVE",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414641",
            "telephone_number": "845-621-6600",
            "fax_number": "845-628-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RACHEL",
        "middle_name": "ALEXA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "773251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "HARISCH",
            "middle_name": "ALEXA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kyle A Innes, D.C.
• Intentional Therapy LLC
• Melissa Ioimo, MSED
• Alan Vincent Ivicic, LCSW-R
• Rebecca Ivicic, PSYD
• Bernard J Jacobs, MD
• Rebecca Michele Jaffe
• Sharan Gail Jaffee, CCC-SLP
• Dorothy Jedlicka, DOROTHY
• Jenny C Carmona-Padilla, LCSW, PLLC

• School Registered Nurse in Mahopac, NY
• Providers in Mahopac, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.