Jonathan Jackson, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

352554 Issued in TX

Practice address

8700 Crownhill Blvd
San Antonio, TX 78209-1136

Phone

(210) 860-5027

NPI assigned

Apr 15, 2020

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jonjackson@adaptive.com

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1295354660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CROWNHILL BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091136",
            "telephone_number": "210-860-5027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CROWNHILL BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091136",
            "telephone_number": "210-860-5027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Landmark Blf",
            "address_purpose": "LOCATION",
            "city": "Cibolo",
            "state": "TX",
            "postal_code": "781084408",
            "country_code": "US",
            "telephone_number": "210-986-5888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JONATHAN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "352554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jonjackson@adaptive.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8700 Crownhill Blvd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782091136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jong.jackson@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "525 Landmark Blf",
            "city": "Cibolo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "781084408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jauslynn Jackson, APRN, FNP-C
• Jazmin M. Jackson, LCSW
• Jeanette Jackson
• Jocelyn R Jackson, M.A., CCC-SLP
• John Andrew Jackson, D.D.S.
• Kathy Jackson
• Kelci Jackson
• Krystal Nicole Jackson, LMT, CHHP
• Lacey Janee Jackson
• Lance Elliot Jackson, M.D., F.A.C.S.

• Licensed Vocational Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.