Taicaeria Ta'Rai Jackson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1021096 Issued in TX

Practice address

6930 FM 1960 Rd W
Houston, TX 77069-3702

Phone

(281) 836-6085

NPI assigned

May 18, 2022

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Next Level MV LLC

  • Urgent Care Clinic/Center
  • Pearland, TX
  • NPI 1013432285
  Medicare reassignment NPD
• Nluc PLLC

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1518209113
  Medicare reassignment NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1053784660
  Medicare reassignment NPD
• Next Level MV LLC

  • Urgent Care Clinic/Center
  • Baytown, TX
  • NPI 1073168746
  NPD
• Nluc PLLC

  • Urgent Care Clinic/Center
  • League City, TX
  • NPI 1043814049
  NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033968789
  NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • New Braunfels, TX
  • NPI 1285099085
  NPD

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1245977503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 VERONA HILLS LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492990",
            "telephone_number": "281-978-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770693702",
            "telephone_number": "281-836-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TAICAERIA",
        "middle_name": "TA'RAI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1021096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Jackson, PT, DPT
• Simona Jackson, MD
• Stefanece Jackson
• Stequita C. Jackson, MD
• Syreena A. Jackson, PT, DPT,OCS
• Tametria Jackson
• Tatiana Jackson
• Tausha Jackson, LMT
• Teniola Yetunde Jackson
• Thanesha Jackson

• Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.