Deborah Olivia Jackson

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC00000143 Issued in WA

Practice address

601 S 8TH St
Tacoma, WA 98405-4614

Phone

(253) 571-1000

NPI assigned

Dec 5, 2012

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

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": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1215272000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2529 S HOSMER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053151",
            "telephone_number": "253-222-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S 8TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054614",
            "telephone_number": "253-571-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DEBORAH",
        "middle_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC00000143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimmisha Jackson Royal
• Ami Jackson, DO
• Arleen A Jackson, LPN
• Brittany Victoria Jackson
• Christina Jackson, LAC
• Deborah T Jackson, RD
• George F. Jackson III, M.D.
• Ivette Syra Jackson, APRN-NP
• Jamaul O Jackson
• Janoviea Jackson

• Occupational Therapy Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.