Bethany Christine Jackson

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

113029 Issued in NE

Practice address

2411 Whitmore St
Omaha, NE 68112-3133

Phone

(531) 301-7736

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1780588525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 WHITMORE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681123133",
            "telephone_number": "531-301-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 WHITMORE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681123133",
            "telephone_number": "531-301-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BETHANY",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NE",
            "license": "113029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelica Jackson
• Aniya Jackson
• Armando Jackson
• Azalia Jackson
• Barry Jackson
• Breana Jackson
• Breiona Jackson
• Brett Randall Jackson, D.P.T., A.T.C.
• Brittney Jackson
• Caila Jackson

• Nurse's Aide in Omaha, NE
• Providers in Omaha, NE by specialty
• Nurse's Aide in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.