Active NPI
Donna Kay Jackson
- Surgical Technologist
- Palm Coast, FL
National Provider Identifier
1831007541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 204284
- Practice address
- 1 Adventhealth Way
Palm Coast, FL 32137-4702 - Phone
- (386) 302-1920
- NPI assigned
- Sep 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 204284 | FL | Primary |
Addresses
Primary practice location
1 Adventhealth Way
Palm Coast, FL 32137-4702
Mailing address
16 Rolling Sands Dr
Palm Coast, FL 32164-6980
Phone (386) 302-1920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1831007541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 ROLLING SANDS DR",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321646980",
"telephone_number": "386-302-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ADVENTHEALTH WAY",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321374702",
"telephone_number": "386-302-1920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "DONNA",
"middle_name": "KAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-01",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "FL",
"license": "204284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Coast, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.