What is Thomas Jackon's NPI number?

Thomas Jackon's National Provider Identifier (NPI) is 1104275189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Thomas Jackon's specialty?

Thomas Jackon is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).

Where is Thomas Jackon located?

Thomas Jackon's practice location on file with NPPES is 436 5th Ted Stevens Way, Kotzebue, AK 99752.

What is Thomas Jackon's phone number?

The practice phone number listed in the NPPES registry for Thomas Jackon is (907) 442-7162.

Is Thomas Jackon's NPI active?

Yes — Thomas Jackon's NPI (1104275189) is active in the NPPES registry as of the last update on 2016-06-09.

IndividualActive

Thomas Jackon, COMMUNITY HEALTHAIDE

NPI 1104275189 · Community Health Worker · Kotzebue, AK

Thomas Jackon, COMMUNITY HEALTHAIDE is a Community Health Worker provider in Kotzebue, AK (NPI 1104275189).

Provider details

NPI number: 1104275189
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Credential: COMMUNITY HEALTHAIDE
Sex: Male
Sole proprietor: Yes

Practice location

436 5th Ted Stevens Way

Maniilaq Health Center

Kotzebue, AK 99752

Phone: (907) 442-7162

Approximate (ZIP-level) locationGet directions

More AK providers

Mailing address

Po Box 43

Noatak, AK 99752

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(66/100 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
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.

Enumerated: 2016-06-09
Last updated: 2016-06-09

Frequently asked questions

What is Thomas Jackon's NPI number?: Thomas Jackon's National Provider Identifier (NPI) is 1104275189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Thomas Jackon's specialty?: Thomas Jackon is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
Where is Thomas Jackon located?: Thomas Jackon's practice location on file with NPPES is 436 5th Ted Stevens Way, Kotzebue, AK 99752.
What is Thomas Jackon's phone number?: The practice phone number listed in the NPPES registry for Thomas Jackon is (907) 442-7162.
Is Thomas Jackon's NPI active?: Yes — Thomas Jackon's NPI (1104275189) is active in the NPPES registry as of the last update on 2016-06-09.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions