KAYLA ANN JACK
NPI 1093498578
Social Worker - School in Shiprock, NM

Q: What is Kayla Jack's NPI number?

The NPI number for Kayla Jack is 1093498578. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Q: What is Kayla Jack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

Q: When was this NPI record last updated?

The NPPES record for Kayla Jack was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since August 10, 2023

US 491, SHIPROCK, NM 87420(505) 419-0294 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 8, 2023, Aug 10, 2023 (2 updates tracked since 2023).

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About Kayla Ann Jack NPPES

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

KAYLA ANN JACK (NPI 1093498578) is an individual school provider in Shiprock, New Mexico, licensed in New Mexico (SWB-2023-0550) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1093498578

Entity TypeIndividualFemale

Primary Taxonomy1041S0200X

Provider Legal NameKAYLA ANN JACK

Location AddressUS 491Shiprock, NM 87420

Mailing AddressPo Box 5036Shiprock, NM 87420-5036 · (505) 419-0294

Phone(505) 419-0294

Sole ProprietorYes

Enumeration DateAugust 10, 2023

Last NPPES UpdateSeptember 8, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2023

✔ NPI 1093498578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · SchoolBehavioral Health & Social Service Providers

Taxonomy Code1041S0200X

License✔ Licensed in NM · SWB-2023-0550

US 491, Shiprock, NM 87420

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Other Providers at the Same Location NPPES

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

DR. YUMNA BINT MALIK CNM

Advanced Practice Midwife

US 491
SHIPROCK, NM 87420

San Juan County (505) 368-6500

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 Kayla Jack's NPI number?

The NPI number for Kayla Jack is 1093498578. It was assigned to this individual provider in the NPPES registry on August 10, 2023.

Where is Kayla Jack located?

Kayla Jack practices at Us 491, Shiprock, NM 87420. The listed phone number is (505) 419-0294.

What is Kayla Jack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in School, with taxonomy code 1041S0200X.

When was this NPI record last updated?

The NPPES record for Kayla Jack was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.