Active NPI
Christina Jackson
- Athletic Trainer
- Ankeny, IA
National Provider Identifier
1255108239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 127319
- Practice address
- 110 NE 41St St Unit 201
Ankeny, IA 50021-6003 - Phone
- (515) 346-5959
- NPI assigned
- Dec 8, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 127319 | IA | Primary |
Addresses
Primary practice location
110 NE 41St St Unit 201
Ankeny, IA 50021-6003
Mailing address
660 E 5TH St Apt 1010
Des Moines, IA 50309-5473
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127319 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720137600000",
"number": "1255108239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 E 5TH ST APT 1010",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503095473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 NE 41ST ST UNIT 201",
"city": "ANKENY",
"state": "IA",
"postal_code": "500216003",
"telephone_number": "515-346-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CHRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-08",
"last_updated": "2024-07-05",
"certification_date": "2024-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "127319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.