DR. ZITA ELIZABETH JACKSON DO
NPI 1063107449
Student in an Organized Health Care Education/Training Program in Bryn Mawr, PA

Active since April 10, 2023PECOS Enrolled
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010(484) 337-3000 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2025, Apr 10, 2023 (2 updates tracked since 2023).

About Dr. Zita Elizabeth Jackson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ZITA ELIZABETH JACKSON DO (NPI 1063107449) is an individual student in an organized health care education/training program in Bryn Mawr, Pennsylvania and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063107449
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ZITA ELIZABETH JACKSONCredential: DO
Location Address130 S BRYN MAWR AVEBryn Mawr, PA 19010-3143
Mailing Address130 S Bryn Mawr AveBryn Mawr, PA 19010-3143 · (484) 337-3000
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
NPI 1063107449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
130 S BRYN MAWR AVE, Bryn Mawr, PA 19010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Zita Elizabeth Jackson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospitalist
130 S BRYN MAWR AVE, SUITE H321
BRYN MAWR, PA 19010
Nurse Practitioner (Adult Health)
130 S BRYN MAWR AVE, SUITE H321
BRYN MAWR, PA 19010
Pediatrics
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Physician Assistant
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Podiatrist (Foot & Ankle Surgery)
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Urology
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010
Nurse Anesthetist, Certified Registered
130 S BRYN MAWR AVE, BRYN MAWR HOSPITAL ANESTHESIA DEPT.
BRYN MAWR, PA 19010
Physician Assistant
130 S BRYN MAWR AVE
BRYN MAWR, PA 19010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zita Jackson's NPI number?

The NPI number for Zita Jackson is 1063107449. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Zita Jackson located?

Zita Jackson practices at 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010. The listed phone number is (484) 337-3000.

What is Zita Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Zita Jackson enrolled in Medicare?

Yes. Zita Jackson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Zita Jackson was last updated on May 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.