Karen Kay Jackson

Physician • Casper, WY

Deactivated NPI 1689875221 Deactivated in NPPES Female Practitioner

Practice location in NPPES

1461 Hazelwood Dr
Casper, WY 826093008

Phone: 3072340493

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.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of April 29, 2023; the reason is not published. The records below are historical. They do not show whether Karen Jackson currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date May 30, 2007

NPI Deactivation Date April 29, 2023

NPI Active Period 2007 – 2023

Practice Location & Contact Primary Location

Practice Address

1461 Hazelwood Dr

Casper, WY 826093008

Telephone 3072340493

Fax 3073334271

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2007

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

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

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Casper and Wyoming

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 320900000X

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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: Wyoming State Medical Licensing Board.

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Career & Practice History Timeline

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

7 Historical Events

⚠️

NPI Profile Deactivated April 29, 2023

NPPES lists this NPI as deactivated as of April 29, 2023; the reason is not published.

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) July 09, 2007

Registered at 1461 HAZELWOOD DR, CASPER, WY 826093008 (Tel: 3072340493)

📍

Business Mailing Address (Initial Record) July 09, 2007

Registered at 1461 HAZELWOOD DR, CASPER, WY 826093008 (Tel: 3072340493)

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Provider Name / Credentials (Initial Record) July 09, 2007

Recorded as KAREN JACKSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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Initial NPI Registration & Enumeration May 30, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689875221

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 30, 2007

Last Update: July 09, 2007

Deactivation Date: April 29, 2023

Update or Correct Profile

Mailing Address

1461 Hazelwood Dr

Casper, WY 826093008

Phone: 3072340493

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.