Latasha Jackson, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

41367014 Issued in IL

Practice address

1581 Amaryllis Dr
Romeoville, IL 60446-5130

Phone

(773) 263-3586

NPI assigned

Sep 17, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1063324846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 AMARYLLIS DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 AMARYLLIS DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465130",
            "telephone_number": "773-263-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LATASHA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IL",
            "license": "41367014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Ingram, LCSW
• Integrated Health of Romeoville LLC
• Integrative Health Associates, LTD
• Intentional Fulfillment Counseling L.L.C.
• Mehr P Iqbal, M.D.
• Mallory Janowski
• Paula Marie Jensen Hallahan, M.A.
• Alyson Johnson, LCSW
• Kelly A Johnson, L.C.P.C. C.A.D.C.
• Joliet Dialysis Holdings, LLC

• Diabetes Educator Registered Nurse in Romeoville, IL
• Providers in Romeoville, IL by specialty
• Diabetes Educator Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.