Alicia Michelle Jackson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP145482 Issued in TX

Practice address

10934 East Fwy
Houston, TX 77029-1912

Phone

(832) 445-4777

Fax

(888) 638-6155

NPI assigned

Sep 23, 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

Medicare fee-for-service enrollment

Enrolled in TX

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collaborative Geriatrics IncGroup PAC ID 5193827046, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ajackson25663@innovista.gardenplot.direct-ci.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.

• Collaborative Geriatrics Inc

  • Gerontology Nurse Practitioner
  • Katy, TX
  • NPI 1811088628
  Medicare reassignment Care Compare group
• Centrum Medical Group, PLLC

  • General Practice Physician
  • Katy, TX
  • NPI 1376219543
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Texas PLLC

  • Family Nurse Practitioner
  • Round Rock, TX
  • NPI 1609076330
  Medicare reassignment NPD
• Centrum Medical Group PLLC

  • General Practice Physician
  • McAllen, TX
  • NPI 1033099627
  NPD
• Centrum Medical Group, PLLC

  • General Practice Physician
  • Houston, TX
  • NPI 1073266953
  NPD
• Minuteclinic Diagnostic of Texas PLLC

  • Clinical Social Worker
  • Katy, TX
  • NPI 1740898188
  NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1346856408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10934 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770291912",
            "telephone_number": "832-445-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10934 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770291912",
            "telephone_number": "832-445-4777",
            "fax_number": "888-638-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALICIA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah L Jackson-Thomas, C.R.N.A.
• Natalie Jackson-Thompson
• Aimee L Jackson, WHCNP
• Akinia Monee Jackson
• Alexandria Janese Jackson, MSN, APRN, NP
• Allana Jackson, LPC
• Alvin Jackson
• Amy Anne Jackson, CRNA
• Angela Wendy Jackson, RN
• Angelia Rene Jackson

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.