Teresa Alice Jackson, MSED
NPI 1972865442ActiveIndividual· Contractor· Valley Stream, NY
Contractor (MSED) in Valley Stream, New York, licensed in NY, with an NPI issued in June 2012.
Overview
| NPI | 1972865442 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSED |
| Sole proprietor | No |
| NPI issued | Jun 11, 2012 |
| Last updated in NPPES | Jun 11, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Contractor Primary | 171W00000X | 717251962 | NY |
| Contractor | 171W00000X | 486110931 | NY |
| Contractor | 171W00000X | 486112931 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 |
|---|
Other Contractor providers in Valley Stream
- 1073854857
- 1518195817
- 1457597718
- 1740630201
- 1750104386
- 1013291384