DR. KIMBERLEY EVELYN JACKSON D.O.
NPI 1154586832
General Practice in Pueblo, CO

NPI Status: Active since July 22, 2008

Contact Information

902 LAKEVIEW AVE
PUEBLO, CO
ZIP 81004
Phone: (719) 557-5855
Fax: (719) 557-4690

Get Directions Write a Review

  • Individual
  • Female
  • General Practice

About KIMBERLEY JACKSON

This page provides the complete NPI Profile along with additional information for Kimberley Jackson, a primary care provider established in Pueblo, Colorado with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1154586832 assigned on July 2008. The practitioner's primary taxonomy code is 208D00000X with license number OS014960 (PA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1154586832
Provider Name
DR. KIMBERLEY EVELYN JACKSON D.O.
Gender
Female
Entity Type
Individual
Location Address
902 LAKEVIEW AVE PUEBLO, CO 81004
Location Phone
(719) 557-5855
Location Fax
(719) 557-4690
Mailing Address
902 LAKEVIEW AVE PUEBLO, CO 81004
Mailing Phone
(719) 557-5855
Mailing Fax
(719) 557-4690
Is Sole Proprietor?
No
Enumeration Date
07-22-2008
Last Update Date
09-16-2011
Code Navigator

A primary care provider (PCP) like Kimberley Jackson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
OS014960
License State
PA
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
OS014960OTHER (01)PAPENNSYLVANIA OSTEOPATHIC MEDICAL BOARD
50533OTHER (01)COCOLORADO LICENSE

Reviews for DR. KIMBERLEY EVELYN JACKSON D.O.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154586832, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 1 + 0 + 8 + 1 + 2 + 8 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1154586832.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Social Worker (Clinical)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Clinic/Center (Primary Care)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE, SOUTHERN COLORADO FAMILY MEDICINE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Nurse Practitioner (Family)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Nurse Practitioner (Family)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Nurse Practitioner (Family)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Psychologist
902 LAKEVIEW AVE
PUEBLO, CO 81004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154586832, enumerated as an "individual" on July 22, 2008.

The provider is located at 902 LAKEVIEW AVE PUEBLO, CO 81004 and the phone number is (719) 557-5855.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.