Kathy Lacole Jackson, RN, BSN

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Practice address

151 E Wood St
Spartanburg, SC 29303-3016

Phone

(864) 596-3337

NPI assigned

Dec 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kathy Lacole Hunt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1154728319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 E WOOD ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033016",
            "telephone_number": "864-596-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KATHY",
        "middle_name": "LACOLE",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "HUNT",
            "middle_name": "LACOLE",
            "credential": "RN, BSN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie Lorraine Jacks, CCC-SLP
• Adrian Jackson Jr., DMD
• Deborah Dobey Jackson, LPN
• Jamie E Jackson, DC
• Jannah Alexa Jackson
• Kimberly Jackson, CNA
• Kimberly R Jackson, LISW-CP
• Mary Jackson
• Michael Lee Jackson Jr., DO
• Elessa Jacobs, DC

• Public Health or Welfare Agency in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Public Health or Welfare Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.