Cheryl R Jackson, M. S., A.T., C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

F127164 Issued in WV

Practice address

5243 Dalewood Dr
Cross Lanes, WV 25313-1748

Phone

(304) 776-6220

NPI assigned

May 18, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548478217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5243 DALEWOOD DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131748",
            "telephone_number": "304-776-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5243 DALEWOOD DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131748",
            "telephone_number": "304-776-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHERYL",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M. S., A.T., C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "F127164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Inclenrock
• Jazmine Insco-Ferguson
• Integrated Health Care Providers, Inc (Sports Medicine & Rehab Center Cross Lanes)
• Integrated Health Care Providers, Inc. (HealthPlus Urgent Care, Cross Lanes)
• Catherine Jackson
• Sherry A Jackson
• April Jafari, PHARM D
• Evelyn T Jalandoni
• George Lewis Jarrett
• Cierra Elizabeth Jemison, CNA

• Athletic Trainer in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Athletic Trainer in West Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.