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Tashata Re'Kal Jackson, COTA

Occupational Therapy Assistant in Kilgore, TX · enumerated 2018.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053892604

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Registry record

Entity type Individual (Type 1)
Name Tashata Re'Kal Jackson
Credential COTA
Sex Female
Practice address 2700 S Henderson Blvd, Kilgore, TX, 75662
Phone (903) 984-3511
Enumeration date Aug 22, 2018
Last updated in NPPES Aug 22, 2018

Taxonomy & licenses

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 212080 (TX) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Tashata Jackson's NPI record?
Cross-check NPI 1053892604 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1053892604 active?
Yes, as of the latest NPPES snapshot, NPI 1053892604 is active (record last updated 2018-08-22).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-08-22.