Kathleen Seik-Jackson

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN-78428 Issued in NM

Practice address

801 Stephen Moody St SE
Albuquerque, NM 87123-1994

Phone

(505) 271-3068

NPI assigned

Nov 11, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Mexico School for the Blind and Visually Impaired Early Childhood

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1053460683
  NPD (past)

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1083370282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 STEPHEN MOODY ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 STEPHEN MOODY ST SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231994",
            "telephone_number": "505-271-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIK-JACKSON",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NM",
            "license": "RN-78428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Seibert
• Valerie E Seibert, LPCC
• Hadria Seidel, CPSW
• Philip Seidenberg
• Mateo Seifert, FNP-C
• Alyssa Seilala
• Daniel Sidney Seiler, MD
• Mary J Seiler, MD
• Select Physical Therapy of Albuquerque Limited Partnership
• Select Physical Therapy of Albuquerque Limited Partnership

• School Registered Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• School Registered Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.