Kimberly S Jackson, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

1-153976 Issued in AL

Practice address

201 Beacon Pkwy W Ste 117
Birmingham, AL 35209-3147

Phone

(205) 202-5297

Fax

(205) 202-6250

NPI assigned

Dec 6, 2020

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

• Ms. Kimberly S Jackson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Truly Cares Home Care Service, LLC

  • In Home Supportive Care Agency
  • Birmingham, AL
  • NPI 1851997688
  NPD (past) Authorized official

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1104422138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BEACON PKWY W STE 117",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093147",
            "telephone_number": "205-202-5297",
            "fax_number": "205-202-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BEACON PKWY W STE 117",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093147",
            "telephone_number": "205-202-5297",
            "fax_number": "205-202-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "672 S Parkell Ave",
            "address_purpose": "LOCATION",
            "city": "Hueytown",
            "state": "AL",
            "postal_code": "350232016",
            "country_code": "US",
            "telephone_number": "205-953-7177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KIMBERLY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-06",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "AL",
            "license": "1-153976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "JACKSON",
            "middle_name": "S",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Juyoung Jackson, FNP-C
• Kaci Jackson
• Kennedy Jackson
• Kim Jackson
• Kimberly Rae Ward Jackson, MD
• Larry K Jackson, M.D.
• Lillie Jackson, PA
• Margaret Jackson
• Mary Brittany Revell Jackson, OTR/L
• Rasheen Jackson, PHARM.D.

• Home Health Registered Nurse in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Home Health Registered Nurse in Alabama

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