Angel Jackson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2313 Banyan Lake Cir
West Palm Beach, FL 33415-2678

Phone

(561) 541-6722

NPI assigned

May 18, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463529600000",
    "number": "1164879391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 SUMMIT BLVD",
            "address_2": "16421",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334164001",
            "telephone_number": "561-541-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 BANYAN LAKE CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334152678",
            "telephone_number": "561-541-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ANGEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack B Dewey DDS PA
• Jackie'S Unique Care Residential Assisted Living
• Cheryl Maria Jackowski, CRNA
• Jennifer L Jackson-Hall
• Amanda Jackson, APRN, PMHNP- BC
• Ann-Marie Jackson, APRN
• Barndon J Jackson, LMT
• Bria Jackson
• Deana Giselle Jackson
• Desiree Jackson

• Case Manager/Care Coordinator in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Case Manager/Care Coordinator in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.