Rashidah Jackson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN287628 Issued in PA

Practice address

30 S 15TH St Ste 1550
Philadelphia, PA 19102-4806

Phone

(215) 933-2562

NPI assigned

Aug 29, 2026

Last updated

Aug 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mediora Elevus Diversified

  • Home Health Agency
  • Bushkill, PA
  • NPI 1114835311
  NPD (past) Authorized official

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

{
    "created_epoch": "1787961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1073421376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 CANTERBURY RD",
            "city": "BUSHKILL",
            "state": "PA",
            "postal_code": "183249055",
            "telephone_number": "215-933-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S 15TH ST STE 1550",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024806",
            "telephone_number": "215-933-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RASHIDAH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-29",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN287628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Jackson
• Oksana Jackson, MD
• Paula Deaun Jackson, CRNP
• Rachel Hil Jackson, PA-C
• Rasheeda Jackson, MHS, CRS, CMA
• Rebecca Jackson, M.D.
• Roshon Davon Jackson
• Samantha Nicole Jackson
• Sanbria Samone Jackson
• Sharmane Jackson, LCSW

• Licensed Practical Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.