LISA A JACKSON M.D.
NPI 1639299290
Preventive Medicine - Public Health & General Preventive Medicine in Seattle, WA

Q: What is Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1639299290. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on September 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 29, 2007

1730 MINOR AVE, SEATTLE, WA 98101(206) 442-5216 Get Directions Write a Review

NPPES record last updated: September 30, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa A Jackson M.d. NPPES

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

LISA A JACKSON M.D. (NPI 1639299290) is an individual public health & general preventive medicine provider in Seattle, Washington, licensed in Washington (MD00027646) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1639299290

Entity TypeIndividualFemale

Primary Taxonomy2083P0901X

Provider Legal NameLISA A JACKSONCredential: M.D.

Location Address1730 MINOR AVESeattle, WA 98101-1498

Mailing AddressPo Box 34584Seattle, WA 98124-1584 · (509) 241-7349 · Fax (509) 241-7628

Phone(206) 442-5216

Sole ProprietorNo

Enumeration DateMarch 29, 2007

Last NPPES UpdateSeptember 30, 2009

✔ NPI 1639299290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2083P0901X

License✔ Licensed in WA · MD00027646

Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

1730 MINOR AVE, Seattle, WA 98101

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Other Identifiers 5

Medicaid8342040WA

Medicare PING000166446WA

Medicare PING8883412WA

Medicare UPINF88611WA

Medicare PING8883413WA

Other Providers at the Same Location NPPES 20

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

MICHAEL G. WELSCH S.W.

Social Worker

1730 MINOR AVE
SEATTLE, WA 98101

King County (206) 287-2500

LARRY MARX

Psychiatry & Neurology (Child & Adolescent Psychiatry)

1730 MINOR AVE
SEATTLE, WA 98101

King County (206) 287-2500

MS. GINA M. MOWER PA-C

Physician Assistant

1730 MINOR AVE, SUITE 1000
SEATTLE, WA 98101

King County (206) 267-2100

MS. DIANE MIRANDA STUART MSW, LICSW

Counselor (Mental Health)

1730 MINOR AVE, SUITE 1400
SEATTLE, WA 98101

King County (206) 287-2720

SELENE MIRANDA DRAKE-DAVID LCSW

Social Worker (Clinical)

1730 MINOR AVE
SEATTLE, WA 98101

King County (206) 287-2603

SERENA SHORT M.A.

Counselor (Mental Health)

1730 MINOR AVE
SEATTLE, WA 98101

King County (206) 287-2500

DERMATOLOGY ASSOCIATES OF SEATTLE PS

Dermatology

1730 MINOR AVE, SUITE 1000
SEATTLE, WA 98101

King County (206) 267-2100

PAUL N VANDERZEE S.W.

Social Worker (Clinical)

1730 MINOR AVE
SEATTLE, WA 98101

King County (206) 287-2500

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 Lisa Jackson's NPI number?

The NPI number for Lisa Jackson is 1639299290. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Lisa Jackson located?

Lisa Jackson practices at 1730 Minor Ave, Seattle, WA 98101. The listed phone number is (206) 442-5216.

What is Lisa Jackson's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

When was this NPI record last updated?

The NPPES record for Lisa Jackson was last updated on September 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.