What is Ida Olivia Jackson's NPI number?

Ida Olivia Jackson's National Provider Identifier (NPI) is 1184022659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ida Olivia Jackson's specialty?

Ida Olivia Jackson is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).

Where is Ida Olivia Jackson located?

Ida Olivia Jackson's practice location on file with NPPES is 103 N Taylor Ave, Kirkwood, MO 63122-4360.

What is Ida Olivia Jackson's phone number?

The practice phone number listed in the NPPES registry for Ida Olivia Jackson is (314) 623-2302.

Is Ida Olivia Jackson's NPI active?

Yes — Ida Olivia Jackson's NPI (1184022659) is active in the NPPES registry as of the last update on 2014-12-15.

IndividualActive

Ida Olivia Jackson, LAC, LMT

NPI 1184022659 · Acupuncturist · Kirkwood, MO

Ida Olivia Jackson, LAC, LMT is a Acupuncturist provider in Kirkwood, MO (NPI 1184022659).

Provider details

NPI number: 1184022659
Entity type: Individual
Primary specialty: AcupuncturistOther Service Providers
Credential: LAC, LMT
Sex: Female
Sole proprietor: No
License: 2013032932 (MO)

Specialties & taxonomies

AcupuncturistPrimary171100000XLicense 2013032932 (MO)
Other Service Providers

Profile Score

Established profile(74/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 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

103 N Taylor Ave

Suite B

Kirkwood, MO 63122-4360

Phone: (314) 623-2302

Street-level locationGet directions

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Mailing address