Individual provider Active NPI

Ronda L Jackson, RNFA

  • Orthopedic Registered Nurse
  • Garland, TX
National Provider Identifier
1891840567
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Registered NurseTaxonomy code 163WX0800X
License
010309 Issued in TX
Practice address
1130 Belt Line Rd
Suite 135
Garland, TX 75040-3665
Phone
(972) 530-9933
Fax
(972) 530-9004
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 639368 TX
Orthopedic Registered Nurse 163WX0800X 010309 TX Primary

Addresses

Primary practice location

1130 Belt Line Rd
Suite 135
Garland, TX 75040-3665

Mailing address

7706 Creek Wood Dr
Rowlett, TX 75089-2491
Phone (214) 505-1062

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

State licenses

LicenseStateTypeSpecialty
639368TXMDRegistered Nurse
010309TXMDOrthopedic Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Offices of R David Bauer MD PA Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891840567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7706 CREEK WOOD DR",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750892491",
            "telephone_number": "214-505-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BELT LINE RD",
            "address_2": "SUITE 135",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403665",
            "telephone_number": "972-530-9933",
            "fax_number": "972-530-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RONDA",
        "middle_name": "L",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "639368",
            "primary": false
        },
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "TX",
            "license": "010309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.