Jackson Lisotta, SRNA
NPI 1831043330 · Student in an Organized Health Care Education/Training Program · Winston Salem, NC
Jackson Lisotta, SRNA is a Student in an Organized Health Care Education/Training Program provider in Winston Salem, NC (NPI 1831043330).
Provider details
- NPI number
- 1831043330
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- SRNA
- Sex
- Male
- Sole proprietor
- No
- License
- 365263 (NC)
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2026-02-23
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Frequently asked questions
- What is Jackson Lisotta's NPI number?
- Jackson Lisotta's National Provider Identifier (NPI) is 1831043330, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Lisotta's specialty?
- Jackson Lisotta is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jackson Lisotta located?
- Jackson Lisotta's practice location on file with NPPES is 525 Vine St, Winston Salem, NC 27101-4125.
- What is Jackson Lisotta's phone number?
- The practice phone number listed in the NPPES registry for Jackson Lisotta is (336) 716-1411.
- Is Jackson Lisotta's NPI active?
- Yes — Jackson Lisotta's NPI (1831043330) is active in the NPPES registry as of the last update on 2026-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.