Shamika Jackson

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

2213 Cheshire Dr
Aurora, IL 60502-6938

Phone

(773) 595-7828

NPI assigned

Aug 31, 2021

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 identifiers 1

Electronic endpoints 1

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1265100879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 CHESHIRE DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605026938",
            "telephone_number": "773-595-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHESHIRE DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605026938",
            "telephone_number": "773-595-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHAMIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823160557",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "shamika.jackson@j7holdings.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2213 Cheshire Drive, Aurora,",
            "city": "Aurora",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janani P Iyer
• Nagarajan R. Iyer, M.D.
• J.H. Cheung, D.D.S., P.C.
• Abdulah Jabri, DMD
• Sangmesh Jabshetty, M.D.
• Roslin Jacob, PT
• Jamil Jacobs-El, MD
• Gina Mira Jacobsen, D.D.S.
• Alan C Jacobson, MD
• Luke M. Jacobson, DPT

• Driver in Aurora, IL
• Providers in Aurora, IL by specialty
• Driver in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.