Active NPI
Allison Jackson, MD
- Psychiatry Physician
- Tampa, FL
National Provider Identifier
1619437787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 161733
- Practice address
- 13911 Carrollwood Village Run
Tampa, FL 33618-2746 - Phone
- (813) 618-3055
- NPI assigned
- Mar 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 1015351 | MA | |
| Psychiatry Physician | 2084P0800X | 161733 | FL | Primary |
Addresses
Primary practice location
13911 Carrollwood Village Run
Tampa, FL 33618-2746
Mailing address
13911 Carrollwood Village Run
Tampa, FL 33618-2746
Phone (813) 618-3055
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161733 | FL | MD | Psychiatry Physician |
| 1015351 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1619437787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13911 CARROLLWOOD VILLAGE RUN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182746",
"telephone_number": "813-618-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13911 CARROLLWOOD VILLAGE RUN",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182746",
"telephone_number": "813-618-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ALLISON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-23",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "1015351",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "161733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
- April Michelle Jackson James, PHD
- Mashira Denisha Jackson-Gallegos, MD
- Kim Anise Jackson-McCalla, M.S.
- Jackson-Richmond Properties LLC
- Tanika S Jackson-Richmond, DNP,MSN,ED,RN,CEO
- Andrea Latrell Jackson, M.A.
- Anthony Shane Jackson, PHARM.D., BCPS
- Benisha Jackson, MS
- Blaire Jackson, CAC
- Brittany Charlette Jackson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.