Chara Jackson-Simon

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

13322 Castlecombe Dr
Houston, TX 77044-4949

Phone

(281) 797-8965

NPI assigned

Aug 21, 2019

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1730736067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15410 BANTER TRAILS CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770491795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13322 CASTLECOMBE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770444949",
            "telephone_number": "281-797-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-SIMON",
        "first_name": "CHARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanell Monique Jackson-Blanton, PTA
• Heather Jackson-Brown, LCSW
• Lashonda Michill Jackson-Dean, DM,MBA,LHRP,CPT,CIVT
• Miranda C Jackson-Green
• Hudin Njalay Jackson-Sarnor, MD
• Deborah L Jackson-Thomas, C.R.N.A.
• Natalie Jackson-Thompson
• Aimee L Jackson, WHCNP
• Akinia Monee Jackson
• Alexandria Janese Jackson, MSN, APRN, NP

• Attendant Care Provider in Houston, TX
• Providers in Houston, TX by specialty
• Attendant Care Provider in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.