Lashelle Donella Jackson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60046384 Issued in WA

Practice address

1660 S Columbian Way
Seattle, WA 98108-1532

Phone

(206) 764-2101

NPI assigned

Dec 17, 2010

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

Other names 1

• La Shelle Donella Preciado Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1114220894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 PENSACOLA ST",
            "address_2": "UNIT B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222604",
            "telephone_number": "206-390-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "206-764-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LASHELLE",
        "middle_name": "DONELLA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-17",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60046384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LA SHELLE",
            "last_name": "PRECIADO",
            "middle_name": "DONELLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Jackson, ARNP CNM
• Kelli Ann Jackson, RN
• Kelly Jackson
• Kendra Karene Jackson, MD
• Kinshasha Jackson
• Laura Elizabeth Jackson, PA-C
• Laura Heinemann Jackson, OTR/L
• Leah A Jackson
• Lisa A Jackson, M.D.
• Marie Deshazer Jackson

• Licensed Practical Nurse in Seattle, WA
• Providers in Seattle, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.