Monica V. Jackson, FS

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

FS887678 Issued in FL

Practice address

1186 Tree Swallow Dr
Winter Springs, FL 32708-2826

Phone

(321) 765-7779

NPI assigned

Jan 24, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1518729680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 MICHIGAN AVE APT A",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327895415",
            "telephone_number": "334-739-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 TREE SWALLOW DR",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082826",
            "telephone_number": "321-765-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MONICA",
        "middle_name": "V.",
        "credential": "FS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "FL",
            "license": "FS887678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• K Rose Ivey, LMT (FL)
• J Jeffrey Bos D C P a
• J. Jeffrey Bos, D.C., P.a.
• Lindsay Jackson-Drago
• Melanie J Jackson, MS, LMHC, NCC
• Jaime Thony PA
• Jakubowski Sports Rehabilitation, LLC
• Jam Specailized Healthcare, Inc
• James Adam McCracken, PH.D., LLC
• Sona Jares

• Other Specialist/Technologist in Winter Springs, FL
• Providers in Winter Springs, FL by specialty
• Other Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.