Shanda Jackson-Brown

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

06483072 Issued in TX

Practice address

1466 Templecliff Dr
Dallas, TX 75217-1342

Phone

(214) 288-2079

NPI assigned

Sep 4, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Our Patient Non Emergency Medical Transportation Service

  • Non-emergency Medical Transport (VAN)
  • Dallas, TX
  • NPI 1265904544
  NPD Authorized official

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1215419403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 TEMPLECLIFF DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171342",
            "telephone_number": "214-288-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 TEMPLECLIFF DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171342",
            "telephone_number": "214-288-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-BROWN",
        "first_name": "SHANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "06483072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Elizabeth Jackman
• Rhonda Lee Jackman, CPNP
• Sierra Jacko
• Alaina Jacks, CAA
• Kaylee Jacks, MS, RD, CSSD, LD
• Yolanda Juanitha Jackson-Taylor, DMD
• Anissa Jackson, LCDC
• Anna Jackson, LPC-A
• Ashley Jackson, LCSW
• Ashley Nichole Jackson, LMFT, PCC-A

• Non-emergency Medical Transport (VAN) in Dallas, TX
• Providers in Dallas, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.