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TRACY MARIE JACKSON
NPI 1396604450
Contractor in Cleveland, OH

Active since January 15, 2026
1658 CATALPA RD, CLEVELAND, OH 44112(216) 403-7276 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracy Marie Jackson NPPES

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

TRACY MARIE JACKSON (NPI 1396604450) is an individual contractor provider in Cleveland, Ohio, licensed in Ohio (72652084) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1396604450
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameTRACY MARIE JACKSON
Location Address1658 CATALPA RDCleveland, OH 44112-1007
Mailing Address1658 Catalpa RdCleveland, OH 44112-1007 · (216) 403-7276
Phone(216) 403-7276
Sole ProprietorYes
Enumeration DateJanuary 15, 2026
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1396604450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License✔ Licensed in OH · 72652084
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
1658 CATALPA RD, Cleveland, OH 44112
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tracy Jackson's NPI number?

The NPI number for Tracy Jackson is 1396604450. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Where is Tracy Jackson located?

Tracy Jackson practices at 1658 Catalpa Rd, Cleveland, OH 44112. The listed phone number is (216) 403-7276.

What is Tracy Jackson's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Tracy Jackson was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.