Active NPI
Kelli Jackson, RN
- Infusion Therapy Registered Nurse
- Pikesville, MD
National Provider Identifier
1083580708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infusion Therapy Registered Nurse
- License
- R210498
- Practice address
- 1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126 - Phone
- (443) 226-1676
- Fax
- (844) 965-9440
- NPI assigned
- Oct 13, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | R210498 | MD | Primary |
Addresses
Primary practice location
1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126
Mailing address
1829 Reisterstown Rd Ste 350
Pikesville, MD 21208-7126
Phone (443) 226-1676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R210498 | MD | MD | Infusion Therapy Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1083580708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 REISTERSTOWN RD STE 350",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212087126",
"telephone_number": "443-226-1676",
"fax_number": "844-965-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 REISTERSTOWN RD STE 350",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212087126",
"telephone_number": "443-226-1676",
"fax_number": "844-965-9440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "KELLI",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-13",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "MD",
"license": "R210498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.