MEGAN JACKSON – NPI #1013505064
Residential Treatment Facility, Emotionally Disturbed Children

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

MEGAN JACKSON is a residential treatment facility located in NORTH POLE, AK. NPPES has assigned the NPI number 1013505064 to MEGAN JACKSON on January 05, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 322D00000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Emotionally Disturbed Children.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEGAN JACKSON below.

NPI Profile for
MEGAN JACKSON

NPI Number
1013505064
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MEGAN JACKSON
Primary location
1502 LIATRIS LN
NORTH POLE, AK 99705-5082
Phone: (907) 385-7332 Fax:
Mailing address
365 KODIAK ST STOP 2000
EIELSON AFB, AK 99702-5379
Phone: (907) 385-5733 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jan 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
322D00000X
- Residential Treatment Facility, Emotionally Disturbed Children (Primary)
AK 523381

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.