Sheryl Swoopes Jackson

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1000558 Issued in TX

Practice address

10764 S Gessner Dr
Houston, TX 77071-3509

Phone

(713) 773-4687

Fax

(713) 773-1687

NPI assigned

Aug 8, 2011

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

Other names 1

• Sheryl Swoopes Jackson Former name

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1598044687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 LAKE EDGE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770713630",
            "telephone_number": "713-773-4687",
            "fax_number": "713-773-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10764 S GESSNER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770713509",
            "telephone_number": "713-773-4687",
            "fax_number": "713-773-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHERYL",
        "middle_name": "SWOOPES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERYL",
            "last_name": "JACKSON",
            "middle_name": "SWOOPES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Seleilah Jackson
• Shaniqua Jackson, LPC
• Shawndrea Jackson
• Shelbria Jackson
• Sherrelle Princess Jackson, DNP
• Shetocquia Jackson
• Shi Ronda Jackson, APRN
• Sierra Jackson, PT, DPT
• Simona Jackson, MD
• Stefanece Jackson

• Durable Medical Equipment & Medical Supplies in Houston, TX
• Providers in Houston, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.