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DEREK JACKSON
NPI 1699561209
Assistant, Podiatric in Tucson, AZ

Active since April 18, 2025
3601 S 6TH AVE, TUCSON, AZ 85723(520) 792-1450 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Jackson NPPES

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

DEREK JACKSON (NPI 1699561209) is an individual assistant, podiatric provider in Tucson, Arizona and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1699561209
Entity TypeIndividualMale
Primary Taxonomy211D00000X
Provider Legal NameDEREK JACKSON
Location Address3601 S 6TH AVETucson, AZ 85723-0001
Mailing Address7966 W Foothill DrPeoria, AZ 85383-2158 · (916) 812-6050
Phone(520) 792-1450
Sole ProprietorYes
Enumeration DateApril 18, 2025
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
✔ NPI 1699561209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssistant, PodiatricPodiatric Medicine & Surgery Service Providers
Taxonomy Code211D00000X
Definition
An individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures.
3601 S 6TH AVE, Tucson, AZ 85723
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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.

DR. DAVID SPENCER HAMILTON SR. MD
Internal Medicine (Cardiovascular Disease)
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
KEVIN JAY CARRASCO PHARM.D.
Pharmacist
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
BRITTANY BERNADETTE HERRERA MSW
Social Worker
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
EVAN KEITH MALLORY PHARMD
Pharmacist
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
MS. JANICE ELIZABETH THRON-KELLY LCSW
Social Worker (Clinical)
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
CRISTINA IRENE MATEI M.D.
Psychiatry & Neurology (Neurology)
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
RAVEN JANIN MARSHALL-SANTILLAN PA-C
Physician Assistant
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450
DR. JEREMY W HALL PHARM D
Pharmacist
3601 S 6TH AVE
TUCSON, AZ 85723
Pima County (520) 792-1450

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 Derek Jackson's NPI number?

The NPI number for Derek Jackson is 1699561209. It was assigned to this individual provider in the NPPES registry on April 18, 2025.

Where is Derek Jackson located?

Derek Jackson practices at 3601 S 6th Ave, Tucson, AZ 85723. The listed phone number is (520) 792-1450.

What is Derek Jackson's specialty?

The primary specialty registered for this NPI is Assistant, Podiatric with taxonomy code 211D00000X.

When was this NPI record last updated?

The NPPES record for Derek Jackson was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.