Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathryn E. Jackson, DO

Individual provider Pediatrics Physician · NPI 1568697035

Kathryn E. Jackson, DO is an Endocrinology in Saint Louis, Missouri. Qualified in 2009, 17 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
17
Licensed in
IL, MO
In the registry since
2009
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5648
Fax: (314) 268-6448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence 2012014727 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 2012014727 (MO)
Pediatrics Physician Taxonomy 208000000X · Licence 36.138488 (IL)
Pediatric Endocrinology Physician Taxonomy 2080P0205X · Licence 36.138488 (IL)

Record details

NPI number1568697035
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 27, 2009
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyENDOCRINOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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