Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366267627 Individual Practitioner Female Practitioner

Tierra Leanne Jackson , TATTOO LICENSE

Rehabilitation Practitioner • Springfield, MO

Professional Overview & Biography Verified Profile Summary

Tierra Jackson, TATTOO LICENSE is a registered healthcare professional specializing in Rehabilitation Practitioner in Springfield, MO. Practice services are available at 3322 S CAMPBELL AVE # X under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3322 S Campbell Ave # X

Springfield, MO 658074980

Telephone 4177715540

Specialty Benchmarks & Practice Insights

Comparative analytics for Rehabilitation Practitioner in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Springfield, MO (10 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: 2024-11-20
Rehabilitation Practitioner Primary Specialty

NUCC Taxonomy Code: 225400000X

State License MO 2021043963

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Technician, Other

NUCC Taxonomy Code: 247200000X

State License MO 2021043963

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 20, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2024

Registered at 3322 S CAMPBELL AVE # X, SPRINGFIELD, MO 658074980 (Tel: 4177715540)

📍
Updated Business Mailing Address November 20, 2024

Registered at 3322 S CAMPBELL AVE # X, SPRINGFIELD, MO 658074980 (Tel: 4177715540)

👤
Provider Name / Credentials Updated November 20, 2024

Recorded as TIERRA JACKSON, TATTOO LICENSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2024

Rehabilitation Practitioner (License #2021043963 in MO)

🟢
Initial NPI Registration & Enumeration November 20, 2024

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: 1366267627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2024
Last Update: November 20, 2024
Sole Proprietor: No

Mailing Address

3322 S Campbell Ave # X

Springfield, MO 658074980

Phone: 4177715540

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.