Cynthia M Jackson, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1059384 Issued in AL

Practice address

3408 Beltline Park Dr N
Mobile, AL 36617

Phone

(251) 287-6146

Fax

(251) 287-6154

NPI assigned

Jun 30, 2006

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hands of Hope Health Care CenterGroup PAC ID 9032386404, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18033/brand/1/csg/1/fhir/r4
• Direct secure messaging: cynthia.jackson.1@18033.direct.athenahealth.com

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.

• Hands of Hope Health Care Center

  • Multi-Specialty Clinic/Center
  • Mobile, AL
  • NPI 1487923520
  Medicare reassignment Care Compare group NPD Authorized official
• Hands of Hope Health Care

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1992098545
  NPD
• Checkups - Al LLC

  • Nurse Practitioner
  • Trussville, AL
  • NPI 1447470448
  NPD (past)
• Franklin Primary Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Frisco City, AL
  • NPI 1982024402
  NPD (past)
• Jackson Montgomery Emergency Physcians, LLC

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1952358590
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1306875828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 BELTLINE PARK DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366171539",
            "telephone_number": "251-287-6146",
            "fax_number": "251-287-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 BELTLINE PARK DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36617",
            "telephone_number": "251-287-6146",
            "fax_number": "251-287-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CYNTHIA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1059384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Jackson, CRNP
• Brandi N Jackson
• Brianna Marie Jackson, PT, DPT
• Charleen Jackson, NP
• Christina Jackson
• Danielle Jackson
• Deasia Jackson
• Dianna O Jackson, R.N.
• Edris Jackson
• Emily Carol Jackson, LPC

• Nurse Practitioner in Mobile, AL
• Providers in Mobile, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.