Active NPI
Alexis Jackson
- Athletic Trainer
- Conroe, TX
National Provider Identifier
1801430343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 22 Ashworth CT
Conroe, TX 77385-3485 - Phone
- (469) 595-1236
- NPI assigned
- Oct 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
22 Ashworth CT
Conroe, TX 77385-3485
Mailing address
22 Ashworth CT
Conroe, TX 77385-3485
Phone (469) 595-1236
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alexis.jackson5@mavs.uta.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1801430343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ASHWORTH CT",
"city": "CONROE",
"state": "TX",
"postal_code": "773853485",
"telephone_number": "469-595-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ASHWORTH CT",
"city": "CONROE",
"state": "TX",
"postal_code": "773853485",
"telephone_number": "469-595-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ALEXIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-28",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alexis.jackson5@mavs.uta.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "personal email",
"address_1": "22 Ashworth Ct",
"city": "Conroe",
"state": "TX",
"country_code": "US",
"postal_code": "773853485",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.