Individual provider Active NPI

Kimberly A. Jacksi, RN

  • Student in an Organized Health Care Education/Training Program
  • Colorado Springs, CO
National Provider Identifier
1487513537
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
RN.0205686 Issued in CO
Practice address
3720 Sinton Rd Ste 104
Colorado Springs, CO 80907-5085
Phone
(719) 493-9555
NPI assigned
Jan 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X RN.0205686 CO Primary

Addresses

Primary practice location

3720 Sinton Rd Ste 104
Colorado Springs, CO 80907-5085

Mailing address

3720 Sinton Rd Ste 104
Colorado Springs, CO 80907-5085
Phone (719) 493-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.0205686COMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1487513537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SINTON RD STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075085",
            "telephone_number": "719-493-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 SINTON RD STE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809075085",
            "telephone_number": "719-493-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSI",
        "first_name": "KIMBERLY",
        "middle_name": "A.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "RN.0205686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.