KELLY JACKSON
NPI 1366029712
Community Health Worker in Craigsville, WV

Active since March 24, 2021
65 WELL RD, CRAIGSVILLE, WV 26205(304) 651-1728 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Jackson NPPES

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

KELLY JACKSON (NPI 1366029712) is an individual community health worker in Craigsville, West Virginia and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1366029712
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameKELLY JACKSON
Location Address65 WELL RDCraigsville, WV 26205
Mailing AddressPo Box 1152Craigsville, WV 26205-1152
Sole ProprietorYes
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 2, 2021
NPI 1366029712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
65 WELL RD, Craigsville, WV 26205

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 Kelly Jackson's NPI number?

The NPI number for Kelly Jackson is 1366029712. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Kelly Jackson located?

Kelly Jackson practices at 65 Well Rd, Craigsville, WV 26205. The listed phone number is (304) 651-1728.

What is Kelly Jackson's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Kelly Jackson was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.