Rochelle Jackson, R.T R. CT. ARRT

Primary specialty

Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X

Practice address

2208 Ranch Road 620 N Apt 5414
Austin, TX 78734-2847

Phone

(773) 430-6523

NPI assigned

May 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588896000000",
    "number": "1285256685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 RANCH ROAD 620 N APT 5414",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787342847",
            "telephone_number": "773-430-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 RANCH ROAD 620 N APT 5414",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787342847",
            "telephone_number": "773-430-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROCHELLE",
        "name_prefix": "Miss",
        "credential": "R.T R. CT. ARRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Austin",
            "affiliation": "N",
            "address_1": "2208 Ranch Road 620 N Apt 5414",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787342847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Periz Monique Jackson, COTA
• Philip C Jackson Jr., MD
• Rachel Jackson, FNP-C
• Remigius Jackson, DDS
• Robert M Jackson, MD
• Sarah Jane Jackson, PHD
• Sharon Jackson
• Sheneaka Blake Jackson, D.C.
• Stephanie Jackson, MS, RD, LDN, CNSC
• Stephanie Jackson

• Radiologic Technologist in Austin, TX
• Providers in Austin, TX by specialty
• Radiologic Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.