Sheila Jackson

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

749 Issued in AL

Practice address

5067 Business Park Dr
Montgomery, AL 36116

Phone

(334) 612-2100

Fax

(334) 612-2148

NPI assigned

Mar 7, 2007

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

• Shelia Jackson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194855072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 TROY HWY",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361162618",
            "telephone_number": "334-612-2100",
            "fax_number": "331-612-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5067 BUSINESS PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36116",
            "telephone_number": "334-612-2100",
            "fax_number": "334-612-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHEILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELIA",
            "last_name": "JACKSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marilyn Sledge Jackson, LCSW
• Megan Jackson
• Melinda Louise Jackson, CRNP
• Nakisa J Jackson
• Renita L Jackson
• Taylor Nichole Jackson
• William R Jackson Jr., PT
• Jackson'S Homecare Services
• Jackson'S Professional Homecare Services
• Rebecca R Jacobson, PH.D LPC

• Durable Medical Equipment & Medical Supplies in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Durable Medical Equipment & Medical Supplies in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.