Kim Rene Jackman
NPI 1568795573ActiveIndividual· Licensed Practical Nurse· Rockville Centre, NY
Licensed Practical Nurse in Rockville Centre, New York, licensed in NY, with an NPI issued in September 2009.
Overview
| NPI | 1568795573 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Sep 9, 2009 |
| Last updated in NPPES | Sep 9, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 246730 | NY |
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 |
|---|
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All 15 licensed practical nurses in Rockville Centre · All licensed practical nurses in New York