Individual provider Active NPI

Christy Nichole Jackson, CNM

  • Advanced Practice Midwife
  • Pleasanton, TX
National Provider Identifier
1780996850
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
743083 Issued in TX
Practice address
310 W Oaklawn Rd
Pleasanton, TX 78064-4033
Phone
(830) 569-8940
Fax
(830) 569-8940
NPI assigned
Jul 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 743083 TX
Federally Qualified Health Center (FQHC) 261QF0400X 743083 TX
General Practice Physician 208D00000X 743083 TX
Advanced Practice Midwife 367A00000X 743083 TX Primary

Addresses

Primary practice location

310 W Oaklawn Rd
Pleasanton, TX 78064-4033

Mailing address

310 W Oaklawn Rd
Pleasanton, TX 78064-4033
Phone (830) 569-8940

Other practice location 1

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-1661

Other names 1

  • Christy Nichole Wilson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000354 TX Practitioner - Certified Nurse Midwife (CNM) 1052444304 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001534NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Westover Hills Women's Health PA CurrentSince Sep 7, 2025 Accepting new patients
Yolanda Lawson, M.D, P.a PastSince Sep 1, 2006 Accepting new patients
Madewell Woman Past Accepting new patients
Abraham a Alecozay MD PA PHD PastSince Sep 7, 2025 Accepting new patients
Lone Star OB/GYN Associates, P.a. PastSince Oct 15, 2001 Accepting new patients

Locations

7430 Barlite Blvd
Ste 105
San Antonio, TX 78224
Phone (210) 568-1949

315 N San Saba
Ste 1180
San Antonio, TX 78207
Phone (210) 270-7800

2317 SW Military Dr
San Antonio, TX 78224
Phone (210) 921-3572

11212 State Highway 151
Ste 150
San Antonio, TX 78251
Phone (210) 233-1215

Interoperability endpoints

  • Direct secure messaging: houmamal-hakeemmd.christyjackson@112276.advancedmd-direct.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1780996850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W OAKLAWN RD",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644033",
            "telephone_number": "830-569-8940",
            "fax_number": "830-569-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W OAKLAWN RD",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644033",
            "telephone_number": "830-569-8940",
            "fax_number": "830-569-8940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Sam Houston",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "210-916-1661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRISTY",
        "middle_name": "NICHOLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-06",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "743083",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "TX",
            "license": "743083",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "743083",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "743083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "WILSON",
            "middle_name": "NICHOLE",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pleasanton, TX

Sources for this page

Verify at the official NPI Registry.