Heather Jackson

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

1103 Knoxville Hwy
Wartburg, TN 37887

Phone

(423) 346-6272

Fax

(423) 346-2349

NPI assigned

Jan 30, 2017

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1255878203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 KNOXVILLE HIGHWAY",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "37887",
            "telephone_number": "423-346-6272",
            "fax_number": "423-346-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KNOXVILLE HWY",
            "city": "WARTBURG",
            "state": "TN",
            "postal_code": "37887",
            "telephone_number": "423-346-6272",
            "fax_number": "423-346-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hot Rod Shannon
• Hot Rod Shannon, Inc.
• Benjamin R Howard, D.D.S.
• Robert Allan Hysell Jr., RN
• Ionela M Krulewich Dba Eagle Care TN
• Tina Louise Jackson, MD
• Crystal Johnson, PHYSICAL THERAPIST
• Jerrica Ann Jones, RN
• David D. Kelner, M.D.
• Sydney Kidd, DDS

• Nurse's Aide in Wartburg, TN
• Providers in Wartburg, TN by specialty
• Nurse's Aide in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.