OrganizationActive
Tara Jackson
NPI 1093169823 · Early Intervention Provider Agency · Auburn, KY
Tara Jackson is a Early Intervention Provider Agency organization in Auburn, KY (NPI 1093169823).
Provider details
- NPI number
- 1093169823
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tara Jackson, Developmental Interventionist(270) 847-7004
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% 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
104 G Corum Ln
Auburn, KY 42206-5000
Phone: (270) 847-7004
Street-level locationGet directions
Mailing address
104 G Corum Ln
Auburn, KY 42206-5000
Registry dates
- Enumerated
- 2016-04-18
- Last updated
- 2016-04-18
Frequently asked questions
- What is Tara Jackson's NPI number?
- Tara Jackson's National Provider Identifier (NPI) is 1093169823, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tara Jackson?
- Tara Jackson is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Tara Jackson located?
- Tara Jackson's practice location on file with NPPES is 104 G Corum Ln, Auburn, KY 42206-5000.
- What is Tara Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tara Jackson is (270) 847-7004.
- Who is the authorized official for Tara Jackson?
- The authorized official listed on Tara Jackson's NPPES record is Tara Jackson, Developmental Interventionist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tara Jackson's NPI active?
- Yes — Tara Jackson's NPI (1093169823) is active in the NPPES registry as of the last update on 2016-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.