Tierra Leanne Jackson, TATTOO LICENSE
NPI 1366267627ActiveIndividual· Rehabilitation Practitioner· Springfield, MO
Rehabilitation Practitioner (TATTOO LICENSE) in Springfield, Missouri, licensed in MO, with an NPI issued in November 2024.
Overview
| NPI | 1366267627 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | TATTOO LICENSE |
| Sole proprietor | No |
| NPI issued | Nov 20, 2024 |
| Last updated in NPPES | Nov 20, 2024 |
| Certified by provider | Nov 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | 2021043963 | MO |
| Technician, Other | 247200000X | 2021043963 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|