Arielle S Jackson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

238459 Issued in NY

Practice address

244 Hempstead Ave
Buffalo, NY 14215-3404

Phone

(716) 831-7877

Fax

(831) 866-6666

NPI assigned

Nov 15, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Academic Medicine Services, Inc.

  dba UBMD Internal Medicine

  • Internal Medicine Physician
  • Williamsville, NY
  • NPI 1255394763
  NPD (past)
• The Community Action Organization of Western New York, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Buffalo, NY
  • NPI 1114938594
  NPD (past)

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

{
    "created_epoch": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1376012757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SHIRLEY AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151017",
            "telephone_number": "716-903-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 HEMPSTEAD AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142153404",
            "telephone_number": "716-831-7877",
            "fax_number": "831-866-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1237 Main St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142092111",
            "country_code": "US",
            "telephone_number": "716-884-9101",
            "fax_number": "716-884-7703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ARIELLE",
        "middle_name": "S",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "238459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PRACTICAL NURSE",
            "identifier": "333364",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim M. Jablonski
• Dennis Michael Jack, FNP
• Heather Jack
• Omar Dwayne Jack, DO, PA-C
• Alysha Tiana Jackson Simmonds
• Ashley Jackson
• Christine Jackson
• Clifton Jackson
• Corrine R Jackson, LMT
• Desirae Jackson, CDA

• Registered Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.