Fredericka Jackson, PH.D. CAC II

ActiveIndividual ProviderSpecialty not listed
NPI issued: November 10, 2005

Quick Facts

NPI Number
1922089531
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy103TA0400X — Specialty not listed
Phone
(248) 250-7323
StateMI

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1922089531)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (November 10, 2005)
Data source: CMS NPPES

Provider Overview

FREDERICKA JACKSON, PH.D. CAC II is a Healthcare provider based in Troy, MI who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1922089531
Provider TypeIndividual Provider
GenderFemale
CredentialPH.D. CAC II
StatusActive
Enumeration DateNovember 10, 2005

Practice Location

CityTroy
StateMI
ZIP Code48083-5769
Phone(248) 250-7323

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code103TA0400X
License StateMI

Mailing Address

CityTroy
StateMI
ZIP Code48083-5769
Phone(248) 250-7323
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1922089531 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 1922089531for 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 1922089531 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.

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1,450
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People Also Ask

What is Fredericka Jackson's NPI number?
Fredericka Jackson's NPI number is 1922089531, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Fredericka Jackson's NPI currently active?
Yes, Fredericka Jackson's NPI status is Active as of the latest CMS NPPES database updates.
What does Fredericka Jackson specialize in?
Fredericka Jackson specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 103TA0400X.
Where does Fredericka Jackson practice?
Fredericka Jackson practices in Troy, MI 48083-5769.
When was Fredericka Jackson's NPI issued?
Fredericka Jackson's NPI was issued on November 10, 2005.
What is Fredericka Jackson's provider type?
Fredericka Jackson is registered as an Individual Provider under CMS NPI Type 1.