IndividualActive
Vicki Jackson
NPI 1649622010 · Case Manager/Care Coordinator · Shady Point, OK
Provider details
- NPI number
- 1649622010
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
26496 255th Ave
Shady Point, OK 74956-2011
Phone: (918) 721-6515
Approximate (ZIP-level) locationGet directions
Mailing address
26496 255th Avenue
Shady Point, OK 74956
Registry dates
- Enumerated
- 2016-07-08
- Last updated
- 2016-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.