IndividualActive
Raynisha Jackson
NPI 1003509175 · Case Management Agency · Tulsa, OK
Raynisha Jackson is a Case Management Agency provider in Tulsa, OK (NPI 1003509175).
Provider details
- NPI number
- 1003509175
- Entity type
- Individual
- Primary specialty
- Case Management AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4907 S 73rd East Ave Unit 4
Tulsa, OK 74145-6741
Phone: (305) 713-2623
Street-level locationGet directions
Mailing address
4907 S 73rd East Ave Unit 4
Tulsa, OK 74145-6741
Registry dates
- Enumerated
- 2023-06-02
- Last updated
- 2023-06-02
- Certified
- 2023-06-02
Frequently asked questions
- What is Raynisha Jackson's NPI number?
- Raynisha Jackson's National Provider Identifier (NPI) is 1003509175, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raynisha Jackson's specialty?
- Raynisha Jackson is listed in the NPPES registry with a primary specialty of Case Management Agency (Agencies).
- Where is Raynisha Jackson located?
- Raynisha Jackson's practice location on file with NPPES is 4907 S 73rd East Ave Unit 4, Tulsa, OK 74145-6741.
- What is Raynisha Jackson's phone number?
- The practice phone number listed in the NPPES registry for Raynisha Jackson is (305) 713-2623.
- Is Raynisha Jackson's NPI active?
- Yes — Raynisha Jackson's NPI (1003509175) is active in the NPPES registry as of the last update on 2023-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.