Lakisha Jelks, CERTIFIED NURSE ASST

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

19904 Lakewood Ave
Lynwood, IL 60411-1435

Phone

(708) 965-9758

NPI assigned

Jul 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1073929196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19904 LAKEWOOD AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111435",
            "telephone_number": "708-965-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19904 LAKEWOOD AVE",
            "city": "LYNWOOD",
            "state": "IL",
            "postal_code": "604111435",
            "telephone_number": "708-965-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELKS",
        "first_name": "LAKISHA",
        "credential": "CERTIFIED NURSE ASST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Images of Illinois
• Homegrown Health Care, Inc.
• Ariel B House, RBT
• Gabriel Ifejiasi
• Benita Lynnette Ingram, LCSW
• Adonius Johnson
• Demar Johnson
• Elizabeth A Johnson, BA, CADC, CODP
• JSL Consultants & Associates Inc
• Sanoka P Keys

• Nurse's Aide in Lynwood, IL
• Providers in Lynwood, IL by specialty
• Nurse's Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.