Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982898227 Individual Practitioner Female Practitioner

Stacy Latrice Jackson

Specialist • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Stacy Jackson is a registered healthcare professional specializing in Specialist in Seattle, WA. Practice services are available at 6817 GREENWOOD AVE. N. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6817 Greenwood Ave. N.

Seattle, WA 981038801

Telephone 7253510871
Associated Practice Facility / Clinic
🏢 Ed Rankin, Licsw, Inc. Facility NPI 1760778005

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.8 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
366 Specialists

Practicing in Seattle, WA (2751 Statewide)

Telehealth Adoption Rate
0.3% 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

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA00024477

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2008

Registered at 6817 GREENWOOD AVE. N., SEATTLE, WA 981038801 (Tel: 7253510871)

📍
Updated Business Mailing Address December 18, 2008

Registered at 6817 GREENWOOD AVE N, SEATTLE, WA 981038801

👤
Provider Name / Credentials Updated December 18, 2008

Recorded as STACY JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2008

Specialist (License #MA00024477 in WA)

🟢
Initial NPI Registration & Enumeration August 29, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1982898227
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2007
Last Update: December 18, 2008
Sole Proprietor: Yes

Mailing Address

6817 Greenwood Ave N

Seattle, WA 981038801

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.