J Kelsey Jackson, PA -C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA10003084 Issued in WA

Practice address

520 N 4TH Ave
Pulmonary SVCS
Pasco, WA 99301-5257

Phone

(509) 544-6140

Fax

(509) 544-6163

NPI assigned

Aug 25, 2005

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

Other names 1

• J Kelsey Lawellin-Jackson Former name

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1861485773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "address_2": "PULMONARY SVCS",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-544-6140",
            "fax_number": "509-544-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N 4TH AVE",
            "address_2": "PULMONARY SVCS",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015257",
            "telephone_number": "509-544-6140",
            "fax_number": "509-544-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "J",
        "middle_name": "KELSEY",
        "credential": "PA -C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10003084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8900888",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "LAWELLIN-JACKSON",
            "middle_name": "KELSEY",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriela Isidro
• Tamara A Iverson, PMHNP
• Yarazeth Izquierdo, LDO,ABOC , NCLEC
• J Bell M D P C
• Jackson Lane Adult Family Home
• Jamie Allison Jacobs
• Paige Onvia Jacobson, LMP
• Debra Lynne James, AMOT, OTR/L
• JD & SN Inc
• Joseph Jenks, LAMFT

• Medical Physician Assistant in Pasco, WA
• Providers in Pasco, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.