Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821885229 Individual Practitioner Female Practitioner

Kealah Nicole Jackson

Driver • Oklahoma City, OK

Professional Overview & Biography Verified Profile Summary

Kealah Jackson is a registered healthcare professional specializing in Driver in Oklahoma City, OK. Practice services are available at 4016 SE 48TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4016 Se 48th St

Oklahoma City, OK 731352202

Telephone 4059318552
Associated Practice Facility / Clinic
🏢 Foundation Medical Staffing Facility NPI 1497061469

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Oklahoma City, OK

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

Practicing in Oklahoma City, OK (27 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: 2025-04-21
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License OK A088146885

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 21, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2025

Registered at 4016 SE 48TH ST, OKLAHOMA CITY, OK 731352202 (Tel: 4059318552)

📍
Updated Business Mailing Address April 21, 2025

Registered at 416 W 15TH ST STE 600, EDMOND, OK 730133672 (Tel: 4055626072)

👤
Provider Name / Credentials Updated April 21, 2025

Recorded as KEALAH JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2025

Driver (License #A088146885 in OK)

🟢
Initial NPI Registration & Enumeration April 21, 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: 1821885229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2025
Last Update: April 21, 2025
Sole Proprietor: No

Mailing Address

416 W 15th St Ste 600

Edmond, OK 730133672

Phone: 4055626072

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.