Active NPI
Vicki Elizabeth Jackson, FNP-C
- Nurse Practitioner
- Wichita Falls, TX
National Provider Identifier
1457780801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP 124564
- Practice address
- 4327 Barnett Rd
Wichita Falls, TX 76310-2303 - Phone
- (940) 687-3376
- Fax
- (940) 687-3377
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 744688 | TX | |
| Nurse Practitioner | 363L00000X | AP 124564 | TX | Primary |
Addresses
Primary practice location
4327 Barnett Rd
Wichita Falls, TX 76310-2303
Mailing address
4327 Barnett Rd
Wichita Falls, TX 76310-2303
Phone (940) 687-3376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
880 Ryland St
Reno, NV 89502-1603
Phone (775) 329-4600
Hospital & facility affiliations
- Renown Regional Medical Center
- Renown South Meadows Medical Center
- Northern Nevada Medical Center
- Saint Mary'S Regional Medical Center
- Carson Valley Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 124564 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Consultants, LTD | Current | Accepting new patients |
Locations
880 Ryland St
Reno, NV 89502
Phone (775) 329-4600
10619 Professional Cir
Reno, NV 89521
Phone (775) 329-4600
Organizations & group practices 1
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.
-
- Specialist
- Reno, NV
- NPI 1144218512
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
- Rehabilitation Hospital Unit
- Reno, NV
- NPI 1851658025
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Reno, NV
- NPI 1720058027
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
-
- General Acute Care Hospital
- Reno, NV
- NPI 1609451327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404000000000",
"number": "1457780801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4327 BARNETT RD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763102303",
"telephone_number": "940-687-3376",
"fax_number": "940-687-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4327 BARNETT RD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763102303",
"telephone_number": "940-687-3376",
"fax_number": "940-687-3377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "VICKI",
"middle_name": "ELIZABETH",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2014-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "744688",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP 124564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2014; 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.