Lillie R. Jackson

Primary specialty

AmbulanceTaxonomy code 341600000X

Practice address

600 Kenrick Dr Ste C26
Houston, TX 77060-3698

Phone

(832) 265-5753

Fax

(281) 448-0768

NPI assigned

Sep 22, 2011

Last updated

Sep 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Choice Ambulance Services,LLC

  • Ambulance
  • Houston, TX
  • NPI 1376832907
  NPD (past) Authorized official

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1427331735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112087",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772932087",
            "telephone_number": "832-265-5753",
            "fax_number": "281-448-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 KENRICK DR STE C26",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603698",
            "telephone_number": "832-265-5753",
            "fax_number": "281-448-0768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LILLIE",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyane Nikita Jackson, LPC
• Lanequa Jackson
• Latasha Jackson
• Leanne Kolnick Jackson
• Lenita C Jackson, RN
• Linda Slayton Jackson, M.D.
• Lindsey Nicole Jackson, MD, PHD
• Lonnie L Jackson
• Loretta Jackson
• Mackenzie Brooks Jackson

• Ambulance in Houston, TX
• Providers in Houston, TX by specialty
• Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.