IndividualActive
Kelly Jackson
NPI 1366029712 · Community Health Worker · Craigsville, WV
Kelly Jackson is a Community Health Worker provider in Craigsville, WV (NPI 1366029712).
Provider details
- NPI number
- 1366029712
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
65 Well Rd
Craigsville, WV 26205
Phone: (304) 651-1728
Street-level locationGet directions
Mailing address
Po Box 1152
Craigsville, WV 26205-1152
Registry dates
- Enumerated
- 2021-03-24
- Last updated
- 2021-03-24
- Certified
- 2021-03-02
Frequently asked questions
- What is Kelly Jackson's NPI number?
- Kelly Jackson's National Provider Identifier (NPI) is 1366029712, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Jackson's specialty?
- Kelly Jackson is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Kelly Jackson located?
- Kelly Jackson's practice location on file with NPPES is 65 Well Rd, Craigsville, WV 26205.
- What is Kelly Jackson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Jackson is (304) 651-1728.
- Is Kelly Jackson's NPI active?
- Yes — Kelly Jackson's NPI (1366029712) is active in the NPPES registry as of the last update on 2021-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.