Katrina Larie Jackson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

450 H St RM 202
Crescent City, CA 95531-4021

Phone

(707) 464-7215

NPI assigned

Dec 27, 2007

Last updated

Dec 27, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1992989867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 H ST RM 202",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314021",
            "telephone_number": "707-464-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 H ST RM 202",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955314021",
            "telephone_number": "707-464-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KATRINA",
        "middle_name": "LARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred J Howe, BSW
• Deborah Lee Hunt, LCSW
• Vincent Lee Huntley, APRN
• Amelia Hutchings, RDH
• Insat Telemed Corporation a Professional Corporation (Insat Telemed)
• Tameka Jackson, B.S IN PSYCHOLOGY
• Aimee Jacot, RN
• Dustin A Jacot, PA
• James a Morrow DO a Medical (Crescent City Family Practice)
• James C Standring

• Case Manager/Care Coordinator in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.