JACKSON HERCULES HAUTY
NPI 1497457576
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Jackson Hauty's NPI number?

The NPI number for Jackson Hauty is 1497457576. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Jackson Hauty'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 Jackson Hauty was last updated on April 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 21, 2023

4150 V STREET, PSB 1200, SACRAMENTO, CA 95817(916) 734-5028 Get Directions Write a Review

NPPES record last updated: April 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2023, Mar 21, 2023 (2 updates tracked since 2023).

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About Jackson Hercules Hauty NPPES

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

JACKSON HERCULES HAUTY (NPI 1497457576) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1497457576

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACKSON HERCULES HAUTY

Location Address4150 V STREET, PSB 1200Sacramento, CA 95817

Mailing Address221 E 5th StSan Dimas, CA 91773-2111 · (310) 883-8468

Phone(916) 734-5028

Sole ProprietorYes

Enumeration DateMarch 21, 2023

Last NPPES UpdateApril 1, 20232 updates tracked since enumeration

NPPES CertifiedApril 1, 2023

✔ NPI 1497457576 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.

4150 V STREET, PSB 1200, Sacramento, CA 95817

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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 Jackson Hauty's NPI number?

The NPI number for Jackson Hauty is 1497457576. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Jackson Hauty located?

Jackson Hauty practices at 4150 V Street, Psb 1200, Sacramento, CA 95817. The listed phone number is (916) 734-5028.

What is Jackson Hauty's specialty?

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

When was this NPI record last updated?

The NPPES record for Jackson Hauty was last updated on April 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.