Individual Healthcare Provider
Kathleen J. Jackson, RN-APN
Provider's NPPES record last updated: July 8, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1073619037
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Taos, New Mexico
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 6:50 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X Nurse Practitioner
Adult Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LA2200XNurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000X
Provider-Reported License Information
- Nurse Practitioner (New Jersey)
- 26NN06425500
- Nurse Practitioner (New Jersey)
- 26NN06425500
- Nurse Practitioner (Pennsylvania)
- TP001754C
Practice Locations
Practice Location
1331 Maestas Rd
Taos, New Mexico 87571-6268
Phone: (575) 776-7806
Additional Practice Location
602 W Cuthbert Blvd Unit 26
Haddon Township, New Jersey 08108-3642
Phone: (856) 946-5180
Fax: (856) 946-5181
Additional Practice Location
239 Hurffville Crosskeys Rd Ste 160
Sewell, New Jersey 08080-4005
Phone: (856) 341-8200
Fax: (856) 341-8215
Additional Practice Location
158 Route 73 Ste B
Voorhees, New Jersey 08043-9539
Phone: (856) 247-7230
Fax: (856) 247-7231
Additional Practice Location
555 High St Ste 16a
Mount Holly, New Jersey 08060-1084
Phone: (609) 444-5610
Fax: (609) 444-5611
Additional Practice Location
128 Route 70 Ste 1
Medford, New Jersey 08055-2371
Phone: (609) 367-0900
Fax: (609) 367-0901
Additional Practice Location
401 Young Ave Ste 180
Moorestown, New Jersey 08057-3139
Phone: (856) 291-8600
Fax: (856) 291-8610
Additional Practice Location
315 Route 70 E Ste A
Cherry Hill, New Jersey 08034-2408
Phone: (856) 375-6240
Fax: (856) 375-6241
Additional Practice Location
602 W Cuthbert Blvd Unit 26
Haddon Township, New Jersey 08108-3642
Phone: (856) 946-5180
Fax: (856) 946-5181
Record Information
- Enumeration Date
- September 16, 2006
- Provider's NPPES Record Last Updated
- July 8, 2026
- Certification Date
- July 8, 2026
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue