Teresa Jackson-Novak, MD

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

License

MD60822145 Issued in WA

Practice address

2588 Kwina Rd
Bellingham, WA 98226-9278

Phone

(360) 312-2443

NPI assigned

Sep 16, 2006

Last updated

Jun 11, 2026By the provider in NPPES

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• King County Public Hospital District No 2

  dba Booth Gardner Parkinsons Care Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  Medicare reassignment NPD
• Public Hospital District 1 of Snohomish County

  dba EvergreenHealth Monroe

  • General Acute Care Hospital
  • Monroe, WA
  • NPI 1013074061
  Medicare reassignment NPD
• King County Public Hospital District No 2

  dba EvergreenHealth Medical Group Snohomish County

  • Family Medicine Physician
  • Bothell, WA
  • NPI 1902907165
  NPD
• King County Public Hospital District No. 2

  dba EvergreenHealth at Home Physical Therapy

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD
• Public Hospital District No 1 of Snohomish County

  dba EvergreenHealth Monroe Recovery Center

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Monroe, WA
  • NPI 1770614273
  NPD
• Hazelden Betty Ford Foundation

  • Substance Abuse Rehabilitation Facility
  • Rancho Mirage, CA
  • NPI 1386324945
  NPD
• Hazelden Betty Ford Foundation

  dba Betty Ford Center

  • Substance Abuse Rehabilitation Facility
  • Rancho Mirage, CA
  • NPI 1891846325
  NPD
• Shoqwel Ya' Lhaolh-Ew'XW

  • Substance Abuse Rehabilitation Facility
  • Bellingham, WA
  • NPI 1821948415
  NPD (past)
• Ascension in Home Medical Care NP's Group Inc.

  • Primary Care Nurse Practitioner
  • Tucson, AZ
  • NPI 1053544247
  NPD (past)
• Banner-University Medical Group

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508809427
  NPD (past)
• Colusa Emergency Physicians Medical Group, Inc.

  • Emergency Medicine Physician
  • Colusa, CA
  • NPI 1891726816
  NPD (past)
• Teresa L Jackson MD PC

  • Plastic Surgery Physician
  • Oro Valley, AZ
  • NPI 1518005610
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1700982444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2588 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269278",
            "telephone_number": "360-312-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2588 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269278",
            "telephone_number": "360-312-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-NOVAK",
        "first_name": "TERESA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD60822145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Joy Iversen, LMHCA
• Lisa Iversen, MSW
• J,K, & L, Inc. (Shuksan Healthcare Center)
• Shafaq Jabeen, MD
• Frances Jablonski, MD
• Jacob Nathaniel Jackson
• Jordan Jackson
• Karen Jackson, M.A., LMFT
• Kinsey Jackson
• Stacey Marie Jackson, PTA

• Addiction Medicine (Preventive Medicine) Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Addiction Medicine (Preventive Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.