Kathryn Lano Jackson, NURSE PRACTITIONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

441569 Issued in CA

Practice address

421 Nut Tree Rd
Suite 140
Vacaville, CA 95687-3508

Phone

(707) 624-7550

Fax

(707) 624-7501

NPI assigned

May 2, 2007

Last updated

Dec 29, 2014By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mukesh H Naik DO Inc

  • Family Medicine Physician
  • Vacaville, CA
  • NPI 1851407597
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419811200000",
    "number": "1790907764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NUT TREE ROAD",
            "address_2": "SUITE 140",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "95687",
            "telephone_number": "707-448-9350",
            "fax_number": "707-448-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 NUT TREE RD",
            "address_2": "SUITE 140",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873508",
            "telephone_number": "707-624-7550",
            "fax_number": "707-624-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KATHRYN",
        "middle_name": "LANO",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "441569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BRN NURSE PRACTITIONER",
            "identifier": "441569",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zelikha Izmarai
• Aileen J. Jaber, MD
• Jackman Family Dentistry
• Jackson Medical Supply Inc
• Amanda Jackson, MD
• Njaya Jackson
• Serina Rene Jackson, ASW
• Jeanette Mina Jacobe, A.B
• Jacobson Dental Corp (Children's Choice Dental Care)
• Robert Charles Jacoby, M.D,

• Nurse Practitioner in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.