Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Starr Shalae Jackson

Certified Registered Nurse Anesthetist in Staten Island, NY · enumerated 2020.

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

National Provider Identifier

1578197588

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Registry record

Entity type Individual (Type 1)

Name Dr. Starr Shalae Jackson

Sex Female

Practice address Staten Island, NY, 10306

Phone (646) 533-0990

Enumeration date Feb 28, 2020

Last updated in NPPES Feb 17, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

163WG0000X General Practice Registered Nurse Nursing Service Providers · License 345211 (NY) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 345211 (NY) Secondary

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 345211 (NY) Secondary

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 663663 (NY) 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.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Starr Jackson?

The National Provider Identifier (NPI) for Starr Jackson is 1578197588, a Type 1 (individual) record in the CMS NPPES registry.

Where does Starr Jackson practice?

The practice location on file with NPPES is in Staten Island, NY. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-17.