Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558242008 Individual Practitioner Male Practitioner

Tyler Jackson

Peer Specialist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Tyler Jackson is a registered healthcare professional specializing in Peer Specialist in Jacksonville, FL. Practice services are available at 3625 UNIVERSITY BLVD S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3625 University Blvd S

Jacksonville, FL 322164222

Telephone 9047026156
Associated Practice Facility / Clinic
🏢 Anesthesia Consultants Pa Facility NPI 1346240066

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
20 Specialists

Practicing in Jacksonville, FL (159 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-10
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Lindsay Putkowski , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003626698

Certified Registered Nurse Anesthetist

Dr. Kenneth Aung-Din , MD

Emergency Medicine

NPI 1003912759

Doctor of Medicine (M.D.)

Glorianne Boyd , RD, LD, N

Dietitian, Registered

NPI 1013374131

Registered Dietitian, Licensed Dietitian, N

NPI 1013909860

Doctor of Medicine (M.D.)

Dr. Nakish Grant , MD

General Practice

NPI 1023270659

Doctor of Medicine (M.D.)

NPI 1023607710

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 10, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2025

Registered at 3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 322164222 (Tel: 9047026156)

📍
Updated Business Mailing Address September 10, 2025

Registered at 555 STOCKTON ST, JACKSONVILLE, FL 322042534

👤
Provider Name / Credentials Updated September 10, 2025

Recorded as TYLER JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2025

Peer Specialist

🟢
Initial NPI Registration & Enumeration September 10, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558242008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2025
Last Update: September 10, 2025
Sole Proprietor: No

Mailing Address

555 Stockton St

Jacksonville, FL 322042534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.