What is Ryan Jackson's NPI number?

Ryan Jackson's National Provider Identifier (NPI) is 1336911288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ryan Jackson's specialty?

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

Where is Ryan Jackson located?

Ryan Jackson's practice location on file with NPPES is 1875 S Redwood Rd, Slc, UT 84104-5112.

What is Ryan Jackson's phone number?

The practice phone number listed in the NPPES registry for Ryan Jackson is (801) 363-9400.

Is Ryan Jackson's NPI active?

Yes — Ryan Jackson's NPI (1336911288) is active in the NPPES registry as of the last update on 2023-10-24.

IndividualActive

Ryan Jackson

NPI 1336911288 · Community Health Worker · Slc, UT

Ryan Jackson is a Community Health Worker provider in Slc, UT (NPI 1336911288).

Provider details

NPI number: 1336911288
Entity type: Individual
Primary specialty: Community Health WorkerOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Community Health WorkerPrimary172V00000X
Other Service Providers

Profile Score

Established profile(51/100 index)

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

Registry tenure38% of score
2 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

1875 S Redwood Rd

Slc, UT 84104-5112

Phone: (801) 363-9400

Street-level locationGet directions

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Mailing address