What is Kevin Jackson's NPI number?

Kevin Jackson's National Provider Identifier (NPI) is 1366724270, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kevin Jackson's specialty?

Kevin Jackson is listed in the NPPES registry with a primary specialty of Health Educator (Other Service Providers).

Where is Kevin Jackson located?

Kevin Jackson's practice location on file with NPPES is 19752 Snowden St, Detroit, MI 48235-1180.

What is Kevin Jackson's phone number?

The practice phone number listed in the NPPES registry for Kevin Jackson is (313) 282-7040.

Is Kevin Jackson's NPI active?

Yes — Kevin Jackson's NPI (1366724270) is active in the NPPES registry as of the last update on 2011-09-16.

IndividualActive

Kevin Jackson, CERTIFICATION

NPI 1366724270 · Health Educator · Detroit, MI

Kevin Jackson, CERTIFICATION is a Health Educator provider in Detroit, MI (NPI 1366724270).

Provider details

NPI number: 1366724270
Entity type: Individual
Primary specialty: Health EducatorOther Service Providers
Credential: CERTIFICATION
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Health EducatorPrimary174H00000X
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
14 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

19752 Snowden St

Detroit, MI 48235-1180

Phone: (313) 282-7040

Fax: (313) 861-4215

Street-level locationGet directions

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Mailing address