Chris Jackson, CRT

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

LRT-1569 Issued in ID

Practice address

3067 E Copper Point Dr
Meridian, ID 83642-1740

Phone

(208) 287-1733

NPI assigned

Aug 6, 2020

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1770193526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19615 HARTFORD AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 E COPPER POINT DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421740",
            "telephone_number": "208-287-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRIS",
        "credential": "CRT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "ID",
            "license": "LRT-1569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Rose Ives
• Eduardo Ixta, LMSW
• Jaci Moore, LLC
• Jack D.Klure, DDS PLLC
• Amanda Jack
• Kendra Leigh Jackson
• Robert Elvon Jackson, MD
• Maricar Jose Jacoba, LPC
• Christopher Jacobs
• Patricia Jacobs

• Certified Respiratory Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Certified Respiratory Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.