Terri Jackson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

554547 Issued in CA

Practice address

10813 Tumbleweed Rd
Apple Valley, CA 92308-3628

Phone

(213) 842-5811

NPI assigned

Jul 3, 2008

Last updated

Jul 3, 2008By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Love 2 Care Homes

  • Assisted Living Facility
  • Apple Valley, CA
  • NPI 1265048292
  NPD Authorized official
• Educate 4 Wellness

  • Local Education Agency (LEA)
  • Apple Valley, CA
  • NPI 1376706994
  NPD (past) Authorized official

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1174786784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56589",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900560089",
            "telephone_number": "213-842-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10813 TUMBLEWEED RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923083628",
            "telephone_number": "213-842-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TERRI",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "554547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andre Nakromba Jackson, MFTI
• Bruce L Jackson, P.A.
• Daysia Jackson
• Fredrick Jackson
• Jessica Jackson
• Christopher Louis Jaco, PA-C
• Jaehoon Lee, OD, Inc.,
• Jaime C David MD Inc
• Alden I Jallorina, M.D.
• Kathleen Patrice James, LCSW, MSW

• Registered Nurse in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.