J. Rakiiba Jackson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1143 Issued in VI

Practice address

Dept. of Health, Family Planning Program, Elainco BLDG.
Est. Contant 78-123
St. Thomas, VI 00802

Phone

(340) 774-5256

Fax

(340) 774-7392

NPI assigned

Apr 2, 2007

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386764272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1317",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008041317",
            "telephone_number": "340-777-8804",
            "fax_number": "340-774-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT. OF HEALTH, FAMILY PLANNING PROGRAM, ELAINCO BLDG.",
            "address_2": "EST. CONTANT 78-123",
            "city": "ST. THOMAS",
            "state": "VI",
            "postal_code": "00802",
            "telephone_number": "340-774-5256",
            "fax_number": "340-774-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "J.",
        "middle_name": "RAKIIBA",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "VI",
            "license": "1143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Health Behavioral Specialist
• Island Orthopedics LLC
• Island Pulmonary
• Issachar K Tigre Chinnery Foundation-Victims United Inc
• Evans Jackson
• Sharon Jacobs
• James Ronayne, LLC
• Janet E. Lewis, M.D., PLLC (The Global Wellness Movement)
• Jeri Parker SLP LLC
• Sierra Keann Jno Lewis, APRN

• Advanced Practice Midwife in St Thomas, VI
• Providers in St Thomas, VI by specialty
• Advanced Practice Midwife in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.