Cecilia Jackson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

44627 Issued in CO

Practice address

580 Mohawk Dr
Boulder, CO 80303-3712

Phone

(303) 554-5000

NPI assigned

Jan 17, 2008

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 names 1

• Miss Cecilia Almaraz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1922284173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONEHAVEN STREET CIR",
            "city": "DACONO",
            "state": "CO",
            "postal_code": "805145005",
            "telephone_number": "303-833-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 MOHAWK DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803033712",
            "telephone_number": "303-554-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CECILIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CO",
            "license": "44627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILIA",
            "last_name": "ALMARAZ",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• J.C. Sleeper, LLC
• Sakinah Jaaber, MA
• John S Jachimiak, DPM
• Mac Andrew Jack
• Stanley K Jack, D.O.
• David Paul Jackson, DDS
• Jennifer Jackson, MS, MFTC
• Stacy Marie Jackson, DDS
• Jessica Ann Jacobson, CF-SLP
• Julie Ann Jacobson, FNP-BC

• Licensed Practical Nurse in Boulder, CO
• Providers in Boulder, CO by specialty
• Licensed Practical Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.