Individual provider Active NPI

Ashley Jackson, RN

  • School Clinical Nurse Specialist
  • Holdrege, NE
National Provider Identifier
1225821366
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Clinical Nurse SpecialistTaxonomy code 364SS0200X
License
93018 Issued in NE
Practice address
1700 Broadway St
Holdrege, NE 68949-1204
Phone
(308) 995-4439
NPI assigned
May 22, 2025
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Clinical Nurse Specialist 364SA2100X 93018 NE
School Clinical Nurse Specialist 364SS0200X 93018 NE Primary

Addresses

Primary practice location

1700 Broadway St
Holdrege, NE 68949-1204

Mailing address

1700 Broadway St
Holdrege, NE 68949-1204

Other practice location 1

804 22nd Ave
Kearney, NE 68845-2206
Phone (308) 455-3600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
93018NEMDSchool Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Holdrege Public Schools PastSince May 25, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1225821366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BROADWAY ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BROADWAY ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689491204",
            "telephone_number": "308-995-4439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 22nd Ave",
            "address_purpose": "LOCATION",
            "city": "Kearney",
            "state": "NE",
            "postal_code": "688452206",
            "country_code": "US",
            "telephone_number": "308-455-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ASHLEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "NE",
            "license": "93018",
            "primary": false
        },
        {
            "code": "364SS0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, School",
            "state": "NE",
            "license": "93018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.