Caitlyn Cierra Jackson, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

517 Martin Rd
Atmore, AL 36502-5239

Phone

(251) 368-9136

NPI assigned

Feb 14, 2024

Last updated

Feb 14, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Poarch Band of Creek Indians

  dba Poarch Creek Indian Health Department

  • Federally Qualified Health Center (FQHC)
  • Atmore, AL
  • NPI 1902916489
  NPD (past)

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1316702897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 MARTIN RD",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365025239",
            "telephone_number": "251-368-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 MARTIN RD",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365025239",
            "telephone_number": "251-368-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CAITLYN",
        "middle_name": "CIERRA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Henderson
• Tabitha Turner Hendrick
• John Mabry Herndon, BS PHARMACY
• House of Angels LLC
• Christopher Huber
• James R. Dixon, II D.O.
• Donna K Johnson
• Jonathan E Yoder (Atmore Family Medicine)
• Justice Rexall Drug Store Inc (Greenlawn Pharmacy)
• Justice Rexall Drug Store Inc (Greenlawn Pharmacy Home Health Supply)

• Behavior Technician in Atmore, AL
• Providers in Atmore, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.

Verify at the official NPI Registry.