Lanikki Jackson

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

430 Missouri Ave
New Madrid, MO 63869-1420

Phone

(573) 936-6735

NPI assigned

Jul 31, 2024

Last updated

Oct 28, 2025By 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.

• Show-Me Grace in-Home Care Services, LLC

  • In Home Supportive Care Agency
  • New Madrid, MO
  • NPI 1063380202
  NPD Authorized official

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1154150738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MISSOURI AVE",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691420",
            "telephone_number": "573-936-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MISSOURI AVE",
            "city": "NEW MADRID",
            "state": "MO",
            "postal_code": "638691420",
            "telephone_number": "573-936-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LANIKKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Home Health Care LLC
• Health Facilities Rehab Services Inc
• Heart2Help
• Charlotte Ann Hogan, SLP
• Sierra Elaine Holiman, APRN
• Jackson's Group Home
• Deondray D Jenkins
• Jamie Lynn Kimball, SLP
• Krewzin Transportation Services
• Tricia Lynn McClarty, OTR/L

• In Home Supportive Care Agency in New Madrid, MO
• Providers in New Madrid, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.