Alexia Dominique Jackson, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601003099 Issued in MI

Practice address

223 Kalamazoo St
East Lansing, MI 48824-5400

Phone

(517) 355-9710

NPI assigned

Aug 5, 2026

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

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1629992524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 TRAPPERS COVE TRL APT 2C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 KALAMAZOO ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488245400",
            "telephone_number": "517-355-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ALEXIA",
        "middle_name": "DOMINIQUE",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601003099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Gary Isbell Jr., LMSW
• Eman Farouk Issawi, PA-C
• Keith Wesley Ivens, M.D.
• Joseph Jacher, MS
• Anne Colleen Jack, LMSW
• Justice Jackson
• Monica Hicks Jackson
• Jacob Myers, DDS, PLLC
• Kevin Jacobs, O.D.
• David Jager, ATC. LAT

• Athletic Trainer in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.