Beatrice Kasey Jackson, CSW

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

901 W Hickory St
Deming, NM 88030-4046

Phone

(755) 546-2174

NPI assigned

Apr 25, 2018

Sex

Female

Sole proprietor

No

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1649768672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W HICKORY ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304046",
            "telephone_number": "575-546-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W HICKORY ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304046",
            "telephone_number": "755-546-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BEATRICE",
        "middle_name": "KASEY",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillrise Pharmacy Deming LLC
• Robyn R Horcasitas, M.A., CCC-SLP
• Abiodun Howells
• J. Manning Hudson, DOM
• Ella Mae Irvin-Marcinak
• Mary Jackson
• Silvia Jacquez-Achaval
• Mary Jaime, RN
• Patricia Jankowski, RN
• Rebecca Joe

• Community Health Worker in Deming, NM
• Providers in Deming, NM by specialty
• Community Health Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; 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.