Shari Aleene Jackson, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

Q4434 Issued in TX

Practice address

218 E House St
Alvin, TX 77511

Phone

(281) 824-1480

Fax

(281) 220-6407

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Shari Aleene Scott-Jackson Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Stephen F. Austin Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alvin, TX
  • NPI 1578730818
  Medicare reassignment NPD
• Stephen F Austin Community Health Center,Inc

  • Federally Qualified Health Center (FQHC)
  • Bacliff, TX
  • NPI 1962986562
  NPD
• CHN Medical Support Systems

  • Clinic/Center
  • Houston, TX
  • NPI 1184215352
  NPD (past)
• Robert G Dorr

  • Pediatrics Physician
  • Branford, CT
  • NPI 1083815492
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1558456178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E HOUSE ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775113544",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E HOUSE ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "77511",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 E Main St",
            "address_2": "Suite 6",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064052940",
            "country_code": "US",
            "telephone_number": "203-488-8345",
            "fax_number": "203-483-8668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHARI",
        "middle_name": "ALEENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2006-01257",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "Q4434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363391901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "Q4434",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARI",
            "last_name": "SCOTT-JACKSON",
            "middle_name": "ALEENE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Ruth Hurley, PTA
• Cynthia Ibarra-Silva, M.ED., LPC
• Inacare Health Services, Incorporated
• Annie Laurie Irbe, MSN, APRN, AGACNP-BC
• Misty Ann Jackson, RN
• Jeffrey Azbill
• Christi Renee Jensen, MSN, RN, FNP
• Jeter Chiropractic PC
• Jeter Chiropractic PC
• Vincent Jeter, D.C

• Pediatrics Physician in Alvin, TX
• Providers in Alvin, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.