Lacey Michelle Jackson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1628 Issued in NE

Practice address

1413 S Washington St Ste 210
Papillion, NE 68046-4193

Phone

(402) 882-6832

Fax

(402) 590-5369

NPI assigned

Oct 6, 2010

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 NE

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Taylex, LLCGroup PAC ID 8123568185, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Taylex, LLC

  • Chiropractor
  • Papillion, NE
  • NPI 1710749064
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1720397888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 S WASHINGTON ST STE 210",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464193",
            "telephone_number": "402-882-6832",
            "fax_number": "402-590-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 S WASHINGTON ST STE 210",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464193",
            "telephone_number": "402-882-6832",
            "fax_number": "402-590-5369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LACEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell Dean Irvine, PMHP
• Scott Douglas Irvine, M.D.
• Callie Rae Jackson
• Deborah Jackson
• Janice C Jackson
• Taffy Linnea Jacob, PHARM D
• Jocelyne Jacobi
• Jennifer Erin Jacobs
• Michala Kathleen Jacobson
• Samantha Ann Jadlowski, OT

• Chiropractor in Papillion, NE
• Providers in Papillion, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.