Christine E Jackson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

260098 Issued in MA

Practice address

500 Merrimack St
Lawrence, MA 01843-1756

Phone

(978) 557-8900

Fax

(978) 557-8856

NPI assigned

Oct 31, 2008

Last updated

Mar 15, 2022By the provider in NPPES

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

• Christine E Vencis Former name

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Emerson Practice Associates, Inc.

  • Internal Medicine Physician
  • Concord, MA
  • NPI 1508020199
  Medicare reassignment NPD
• Urgent Care Operations PC

  dba AFC Doctors Express Urgent Care

  • Urgent Care Clinic/Center
  • Beverly, MA
  • NPI 1417311309
  NPD
• Urgent Care Operations, PC

  dba AFC Urgent Care

  • Urgent Care Clinic/Center
  • Haverhill, MA
  • NPI 1396434049
  NPD

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1992958128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 ANDOVER ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455036",
            "telephone_number": "978-837-5441",
            "fax_number": "978-837-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MERRIMACK ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018431756",
            "telephone_number": "978-557-8900",
            "fax_number": "978-557-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "CHRISTINE",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-31",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "260098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "VENCIS",
            "middle_name": "E",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Integrity Medical Transportation Corp.
• International Health Solutions, Inc
• Elizabeth Irvin, MD
• Kalyani Isanaka, DPT
• Richard J. Iseke, M.D.
• Caren G Jacobson, MD
• Elizabeth Marie Jaime, APRN
• James F. Drew DMD PC
• Jamie Mauritz James
• Sofia Del Carmen Jaramillo Quiroz, MD

• Family Nurse Practitioner in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.