Active NPI
Ericka J Jackson
- Midwife
- Medford, WI
National Provider Identifier
1699573055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- Practice address
- PO Box 284
Medford, WI 54451-0284 - Phone
- (978) 467-3011
- NPI assigned
- Mar 3, 2025
- Last updated
- Mar 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Midwife | 176B00000X | NU | Primary |
Addresses
Primary practice location
PO Box 284
Medford, WI 54451-0284
Mailing address
PO Box 284
Medford, WI 54451-0284
Phone (978) 467-3011
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740960000000",
"number": "1699573055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 284",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544510284",
"telephone_number": "978-467-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 284",
"city": "MEDFORD",
"state": "WI",
"postal_code": "544510284",
"telephone_number": "978-467-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ERICKA",
"middle_name": "J",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-03",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, WI
- Courtney Henrichs, LPCIT
- Laurie Hoffman, MA, LPC
- Breanna K Hoffmann, O.D.
- Sandra K Hoogland, PA
- Hope Hospice and Palliative Care Inc (Hope Hospice)
- Ann E Jochimsen, CCC-SLP
- Peter G Kiefer, RPH
- Kim a Gowey DDS LTD (Implant Dentistry of Wisconsin)
- Lauren Allyson King, MS, SLP-CF
- Kaitlyn Lorraine Kirtz, APSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.