Active NPI
Rose Ann Jackson
- Licensed Practical Nurse
- Kingston, NY
National Provider Identifier
1699803510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 263174-1
- Practice address
- 187 Clinton Ave
Apt B
Kingston, NY 12401-5028 - Phone
- (845) 383-1998
- NPI assigned
- Mar 1, 2007
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 263174-1 | NY | Primary |
Addresses
Primary practice location
187 Clinton Ave
Apt B
Kingston, NY 12401-5028
Mailing address
187 Clinton Ave
Apt B
Kingston, NY 12401-5028
Phone (845) 383-1998
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 |
|---|---|---|---|
| 263174-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699803510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 CLINTON AVE",
"address_2": "APT B",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015028",
"telephone_number": "845-383-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 CLINTON AVE",
"address_2": "APT B",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124015028",
"telephone_number": "845-383-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ROSE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "263174-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
- Danielle Isenburg, DO
- Island Family Chiropractic Wellness PLLC
- Sarin Itty, DO
- Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC
- Matiullah Abdul Jabbar, MD
- Madeline Jacobs, CNM
- Janine E Jacobsen-Sprague
- Lawrence Jacowitz, DPM
- Hilary Valentine Jaeger, R.N.
- Farnaz Jafari, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.