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Jakson Nicholas Edward

Registered Nurse β€’ Aloha, OR

Active NPI 1861738486 Individual Practitioner Male Practitioner
Practice location in NPPES

4585 Sw 185th Ave
Aloha, OR 970781557

Call 5035919280 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4585 Sw 185th Ave

Aloha, OR 970781557

Telephone 5035919280
Organization at the Same NPPES Address or Phone
Sequoia Mental Health Services Inc Facility NPI 1730167982

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Cheyenne, WY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Aloha and Oregon

5 active clinicians are listed under Registered Nurse with a practice address in Aloha, OR (2,451 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-07-12
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES OR 202106698RN

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Case Management

NUCC Taxonomy Code: 251B00000X

License # reported to NPPES WY 132080700

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Secondary Practice Locations

1603 Capitol Ave Ste 510

Cheyenne, WY 820014563

Phone: 3076352888

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Kimberly Richards , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1144881475

Nurse Practitioner

Dr. Thomas Welch , MD

Psychiatry & Neurology - Psychiatry

NPI 1083626121

Doctor of Medicine (M.D.)

Dr. Nauphyll Zuberi , MD

Psychiatry & Neurology - Psychiatry

NPI 1770656852

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location July 12, 2021

Registered at 4585 SW 185TH AVE, ALOHA, OR 970781557 (Tel: 5035919280)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2021

Registered Nurse (license number reported to NPPES: OR 202106698RN)

βœ…
NPI Profile Active December 31, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 31, 2012

Registered at 1603 CAPITOL AVE STE 510, CHEYENNE, WY 820014563 (Tel: 3076352888)

πŸ“
Business Mailing Address (Initial Record) December 31, 2012

Registered at 1865 RAINBOW RD APT 106, CHEYENNE, WY 820016583 (Tel: 3072752640)

πŸ‘€
Provider Name / Credentials (Initial Record) December 31, 2012

Recorded as JAKSON EDWARD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2012

Case Management (license number reported to NPPES: WY 132080700)

🟒
Initial NPI Registration & Enumeration December 31, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861738486
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2012
Last Update: July 12, 2021
Sole Proprietor: Yes

Mailing Address

1865 Rainbow Rd Apt 106

Cheyenne, WY 820016583

Phone: 3072752640

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.