Kimberly L. Jackson, RN, IPC. M. ED, CIC

Primary specialty

Infection Control Registered NurseTaxonomy code 163WI0600X

License

RN9475222 Issued in FL

Practice address

2881 NW 24TH CT
Fort Lauderdale, FL 33311-2800

Phone

(954) 707-8000

NPI assigned

Aug 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627776000000",
    "number": "1962175265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2881 NW 24TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333112800",
            "telephone_number": "954-707-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 NW 24TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333112800",
            "telephone_number": "954-707-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KIMBERLY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "RN, IPC. M. ED, CIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "FL",
            "license": "RN9475222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.kimlorrain.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2881 NW 24th Ct",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333112800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Janay Jackson
• Crashawn Toya Jackson, NURSE AIDE
• Ian Jackson, LMHC
• Jose F Jackson
• Kelley Linn Jackson, APRN
• Marchae Jackson, LMFT
• Marcia Jackson, MFT, OTR/L
• Jacob & Jacob MD PA
• Jacob J. Freiman, M.D., P.a.
• Ayden Jacob, MD

• Infection Control Registered Nurse in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Infection Control Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2021; 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.