Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. RICARDO ANTONIO JACKSON JR.
NPI 1083540231
Military Health Care Provider - Independent Duty Medical Technicians in Hampton, VA

Active since June 23, 2026
79 NEALY AVE, HAMPTON, VA 23665(934) 799-4586 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ricardo Antonio Jackson Jr. NPPES

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

MR. RICARDO ANTONIO JACKSON JR. (NPI 1083540231) is an individual independent duty medical technicians provider in Hampton, Virginia and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1083540231
Entity TypeIndividualMale
Primary Taxonomy1710I1003X
Provider Legal NameMR. RICARDO ANTONIO JACKSON JR.
Location Address79 NEALY AVEHampton, VA 23665-2040
Mailing Address79 Nealy AveHampton, VA 23665-2040 · (934) 799-4586
Sole ProprietorNo
Enumeration DateJune 23, 2026
NPPES CertifiedJune 23, 2026
NPI 1083540231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code1710I1003X
Definition
An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
79 NEALY AVE, Hampton, VA 23665

Other Providers at the Same Location NPPES 3

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

Military Health Care Provider (Independent Duty Medical Technicians)
79 NEALY AVE
HAMPTON, VA 23665
Military Health Care Provider (Independent Duty Medical Technicians)
79 NEALY AVE
HAMPTON, VA 23665
Orthopaedic Surgery
79 NEALY AVE
HAMPTON, VA 23665

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 Ricardo Jackson's NPI number?

The NPI number for Ricardo Jackson is 1083540231. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Ricardo Jackson located?

Ricardo Jackson practices at 79 Nealy Ave, Hampton, VA 23665. The listed phone number is (934) 799-4586.

What is Ricardo Jackson's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Medical Technicians, with taxonomy code 1710I1003X.

When was this NPI record last updated?

The NPPES record for Ricardo Jackson was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.