Shamaria Jackson

Key facts

NPI

1891584983

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

895 Pleasant Garden Rd
Bladenboro, NC 28320-5875

Phone

(910) 885-5119

NPI assigned

May 5, 2025

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 5, 2025.

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1891584983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 PLEASANT GARDEN RD",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283205875",
            "telephone_number": "910-885-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 PLEASANT GARDEN RD",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283205875",
            "telephone_number": "910-885-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHAMARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donald Benton Helms, O.D
• Danielle Gillo Hester, PHARMD
• Rebecca Smith Hester, PHARMD
• Jong W Kim, MD
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• Hannah Loscalzo, LMFT
• Victoria Martorano, LMHC
• Oak Grove Family Care Home

All providers in Bladenboro, NC · Behavior Technician in North Carolina