IndividualActive
Derrick Jackson
NPI 1962119867 · Driver · Kansas City, KS
Derrick Jackson is a Driver provider in Kansas City, KS (NPI 1962119867).
Provider details
- NPI number
- 1962119867
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- K02110954 (KS)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES 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
11000 Delaware Pkwy Apt 2307
Kansas City, KS 66109-3567
Phone: (913) 908-0397
Street-level locationGet directions
Mailing address
Po Box 25562
Kansas City, MO 64119-0862
Registry dates
- Enumerated
- 2022-10-31
- Last updated
- 2022-11-01
- Certified
- 2022-11-01
Frequently asked questions
- What is Derrick Jackson's NPI number?
- Derrick Jackson's National Provider Identifier (NPI) is 1962119867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Jackson's specialty?
- Derrick Jackson is listed in the NPPES registry with a primary specialty of Driver (Other Service Providers).
- Where is Derrick Jackson located?
- Derrick Jackson's practice location on file with NPPES is 11000 Delaware Pkwy Apt 2307, Kansas City, KS 66109-3567.
- What is Derrick Jackson's phone number?
- The practice phone number listed in the NPPES registry for Derrick Jackson is (913) 908-0397.
- Is Derrick Jackson's NPI active?
- Yes — Derrick Jackson's NPI (1962119867) is active in the NPPES registry as of the last update on 2022-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.