Brittany Oreon Jackson, MBA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

741674 Issued in CO

Practice address

4710 Eagleridge Cir Ste 230
Pueblo, CO 81008-2176

Phone

(719) 582-8736

NPI assigned

Apr 4, 2012

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

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1669738647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 DRAKE ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051944",
            "telephone_number": "720-551-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 EAGLERIDGE CIR STE 230",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082176",
            "telephone_number": "719-582-8736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 Drake St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810051944",
            "country_code": "US",
            "telephone_number": "720-551-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BRITTANY",
        "middle_name": "OREON",
        "name_prefix": "Mrs.",
        "credential": "MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "CO",
            "license": "741674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Kevin Johnson MD PC
• J. Valentine Cichon, MD PC
• Ryan D Jaarsma, PSY.D.
• Jace'S Place Limited Liability Co.
• Carla Jean Jackson-Howard, ACNP-BC
• Jaelyn Davette Jackson
• John Mark Jackson
• Kimberley Evelyn Jackson, D.O.
• Linda D Jackson, RN,MSN,NP-C
• Kandus Jacobs

• All providers in Pueblo, CO
• Nurse's Aide in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.