Kendall Jackson

ActiveIndividual ProviderSpecialty not listed
NPI issued: June 5, 2026

Quick Facts

NPI Number
1184557456
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy324500000X — Specialty not listed
Phone
(310) 910-0406
StateWV

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1184557456)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (June 5, 2026)
Data source: CMS NPPES

Provider Overview

KENDALL JACKSON is a Healthcare provider based in Sugar Grove, WV who has been registered with CMS since 2026. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1184557456
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateJune 5, 2026

Practice Location

CitySugar Grove
StateWV
ZIP Code26815-5068
Phone(310) 910-0406

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code324500000X
License StateWV

Mailing Address

CitySugar Grove
StateWV
ZIP Code26815-5068
Phone(310) 910-0406
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1184557456 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1184557456for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1184557456 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →
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9,482
Specialty not listed Providers in the US

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People Also Ask

What is Kendall Jackson's NPI number?
Kendall Jackson's NPI number is 1184557456, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kendall Jackson's NPI currently active?
Yes, Kendall Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Kendall Jackson specialize in?
Kendall Jackson specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 324500000X.
Where does Kendall Jackson practice?
Kendall Jackson practices in Sugar Grove, WV 26815-5068.
When was Kendall Jackson's NPI issued?
Kendall Jackson's NPI was issued on June 5, 2026.
What is Kendall Jackson's provider type?
Kendall Jackson is registered as an Individual Provider under CMS NPI Type 1.