KALI JACKSON
NPI 1356289482
Student in an Organized Health Care Education/Training Program in Temple, TX

Active since March 23, 2026PECOS Enrolled
2401 S 31ST ST # MS 01720, TEMPLE, TX 76508(254) 724-2366 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kali Jackson NPPES

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

KALI JACKSON (NPI 1356289482) is an individual student in an organized health care education/training program in Temple, Texas and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356289482
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKALI JACKSON
Location Address2401 S 31ST ST # MS 01720Temple, TX 76508-0001
Mailing Address2401 S 31st St # Ms -01720Temple, TX 76508-0001
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 22, 2026
NPI 1356289482 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.
2401 S 31ST ST # MS 01720, Temple, TX 76508

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kali Jackson 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 2

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

Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # MS 01720
TEMPLE, TX 76508
Student in an Organized Health Care Education/Training Program
2401 S 31ST ST # MS 01720
TEMPLE, TX 76508

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 Kali Jackson's NPI number?

The NPI number for Kali Jackson is 1356289482. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Kali Jackson located?

Kali Jackson practices at 2401 S 31st St # Ms 01720, Temple, TX 76508. The listed phone number is (254) 724-2366.

What is Kali 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 Kali Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kali Jackson was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.