IndividualActive
Katrina Jackson, LSA, CSFA
NPI 1992428890 · Surgery Physician · Charlottesville, VA
Provider details
- NPI number
- 1992428890
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- LSA, CSFA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0136000370 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 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
500 Martha Jefferson Dr
Charlottesville, VA 22911-4668
Phone: (434) 654-7200
Street-level locationGet directions
Mailing address
115 Wood Duck Pl Apt 303
Charlottesville, VA 22902-8202
Registry dates
- Enumerated
- 2022-09-26
- Last updated
- 2022-09-26
- Certified
- 2022-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.