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Active NPI 1629992524 Individual Practitioner Female Practitioner

Alexia Dominique Jackson , LAT, ATC

Specialist/Technologist - Athletic Trainer • East Lansing, MI

Professional Overview & Biography Verified Profile Summary

Alexia Jackson, LAT, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in East Lansing, MI. Practice services are available at 223 KALAMAZOO ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

223 Kalamazoo St

East Lansing, MI 488245400

Telephone 5173559710

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in East Lansing, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
74 Specialists

Practicing in East Lansing, MI (1536 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: 2026-08-05
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License MI 2601003099

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Sarah Dufon

Specialist/Technologist - Athletic Trainer

NPI 1457048159
Jayluh Bankston

Specialist/Technologist - Athletic Trainer

NPI 1568203495
Alianna Madrigal

Specialist/Technologist - Athletic Trainer

NPI 1730967001

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 05, 2026

NPI status registered as active in NPPES database

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Updated Practice Location August 05, 2026

Registered at 223 KALAMAZOO ST, EAST LANSING, MI 488245400 (Tel: 5173559710)

📍
Updated Business Mailing Address August 05, 2026

Registered at 3127 TRAPPERS COVE TRL APT 2C, LANSING, MI 489108478

👤
Provider Name / Credentials Updated August 05, 2026

Recorded as ALEXIA JACKSON, LAT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2026

Specialist/Technologist (License #2601003099 in MI)

🟢
Initial NPI Registration & Enumeration August 05, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1629992524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2026
Last Update: August 05, 2026
Sole Proprietor: Yes

Mailing Address

3127 Trappers Cove Trl Apt 2c

Lansing, MI 489108478

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.