Active NPI
Rachelle Jackson
- Behavior Technician
- Franklin, TN
National Provider Identifier
1679292239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22223422
- Practice address
- 325 Seaboard LN
Franklin, TN 37067-6430 - Phone
- (615) 637-9448
- NPI assigned
- Aug 25, 2022
- Last updated
- Aug 25, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 22223422 | TN | Primary |
Addresses
Primary practice location
325 Seaboard LN
Franklin, TN 37067-6430
Mailing address
325 Seaboard LN
Franklin, TN 37067-6430
Phone (615) 637-9448
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22223422 | TN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661385600000",
"number": "1679292239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 SEABOARD LN",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676430",
"telephone_number": "615-637-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 SEABOARD LN",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370676430",
"telephone_number": "615-637-9448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "RACHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-25",
"last_updated": "2022-08-25",
"certification_date": "2022-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TN",
"license": "22223422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Franklin, TN
- Jackson Jade & Associates, a Speech Pathology Corporation (Jackson Jade Speech, Occupational & Physical Therapy)
- April Jackson, PHARM.D.
- Cynthia M Jackson, L.C.S.W.
- Gretchen H Jackson, P.T.
- Kaley Jackson
- Sherry C Jackson, RBT
- Benjamin Jacobs, PT
- Katherine Milling Jacobs, FNP-BC
- Danelle Andee Jacobus, PAC
- Arjun Jalandar Jadhav, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.