DR. ERIC DANIEL JACKSON MD
NPI 1417701822
Student in an Organized Health Care Education/Training Program in Seattle, WA

Q: What is Eric Jackson's NPI number?

The NPI number for Eric Jackson is 1417701822. It was assigned to this individual provider in the NPPES registry on April 12, 2024.

Q: What is Eric Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Jackson was last updated on April 12, 2024. 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 April 12, 2024PECOS Enrolled

325 9TH AVE # WA, SEATTLE, WA 98104(206) 744-3000 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Eric Daniel Jackson Md NPPES

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

DR. ERIC DANIEL JACKSON MD (NPI 1417701822) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417701822

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. ERIC DANIEL JACKSONCredential: MD

Location Address325 9TH AVE # WASeattle, WA 98104-2420

Mailing Address1616 N Central Ave Apt 2241Phoenix, AZ 85004-1664 · (512) 825-1162

Phone(206) 744-3000

Sole ProprietorYes

Enumeration DateApril 12, 2024

NPPES CertifiedApril 12, 2024

✔ NPI 1417701822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

325 9TH AVE # WA, Seattle, WA 98104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric Daniel Jackson Md 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.

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 Eric Jackson's NPI number?

The NPI number for Eric Jackson is 1417701822. It was assigned to this individual provider in the NPPES registry on April 12, 2024.

Where is Eric Jackson located?

Eric Jackson practices at 325 9th Ave # Wa, Seattle, WA 98104. The listed phone number is (206) 744-3000.

What is Eric 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 Eric Jackson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Eric Jackson was last updated on April 12, 2024. 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.