IndividualActive
Skylar Jackson
NPI 1104536119 · Community Health Worker · Vallejo, CA
Skylar Jackson is a Community Health Worker provider in Vallejo, CA (NPI 1104536119).
Provider details
- NPI number
- 1104536119
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Profile Score
Established profile(57/100 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
2 documented practice locations
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
1116 Legend Cir
Vallejo, CA 94591-8679
Phone: (707) 647-3972
Street-level locationGet directions
Mailing address
444 Georgia St
Vallejo, CA 94590-6005
Additional practice locations (1)
- 4113 Fall Creek CtFairfield, CA 94534-6637Phone: (707) 563-0157
Registry dates
- Enumerated
- 2022-11-30
- Last updated
- 2024-01-03
- Certified
- 2024-01-03
Frequently asked questions
- What is Skylar Jackson's NPI number?
- Skylar Jackson's National Provider Identifier (NPI) is 1104536119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Skylar Jackson's specialty?
- Skylar Jackson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Skylar Jackson located?
- Skylar Jackson's practice location on file with NPPES is 1116 Legend Cir, Vallejo, CA 94591-8679.
- What is Skylar Jackson's phone number?
- The practice phone number listed in the NPPES registry for Skylar Jackson is (707) 647-3972.
- Is Skylar Jackson's NPI active?
- Yes — Skylar Jackson's NPI (1104536119) is active in the NPPES registry as of the last update on 2024-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.