Kevin Jackson, CERTIFICATION

ActiveIndividual ProviderSpecialty not listed
NPI issued: September 16, 2011

Quick Facts

NPI Number
1366724270
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy174H00000X — Specialty not listed
Phone
(313) 282-7040
StateMI

NPI Validation Status: Verified

Valid 10-digit NPI number (1366724270)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (September 16, 2011)
Data source: CMS NPPES

Provider Overview

KEVIN JACKSON, CERTIFICATION is a Healthcare provider based in Detroit, MI who has been registered with CMS since 2011. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1366724270
Provider TypeIndividual Provider
GenderMale
CredentialCERTIFICATION
StatusActive
Enumeration DateSeptember 16, 2011

Practice Location

CityDetroit
StateMI
ZIP Code48235-1180
Phone(313) 282-7040

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code174H00000X
License StateMI

Mailing Address

CityDetroit
StateMI
ZIP Code48235-1180
Phone(313) 282-7040
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1366724270 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.

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For Credentialing

Reference NPI 1366724270for 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 1366724270 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.

📊
7,973
Specialty not listed Providers in the US

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People Also Ask

What is Kevin Jackson's NPI number?
Kevin Jackson's NPI number is 1366724270, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kevin Jackson's NPI currently active?
Yes, Kevin Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Kevin Jackson specialize in?
Kevin Jackson specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 174H00000X.
Where does Kevin Jackson practice?
Kevin Jackson practices in Detroit, MI 48235-1180.
When was Kevin Jackson's NPI issued?
Kevin Jackson's NPI was issued on September 16, 2011.
What is Kevin Jackson's provider type?
Kevin Jackson is registered as an Individual Provider under CMS NPI Type 1.