Active NPI
Lakia Jackson
- Personal Care Attendant
- Milwaukee, WI
National Provider Identifier
1275192965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 9700 W Capitol Dr Apt 1
Milwaukee, WI 53222-1468 - Phone
- (414) 378-0268
- NPI assigned
- Jun 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
9700 W Capitol Dr Apt 1
Milwaukee, WI 53222-1468
Mailing address
9700 W Capitol Dr Apt 1
Milwaukee, WI 53222-1468
Phone (414) 378-0268
Other practice location 1
9700 W Capitol Dr Apt 2
Milwaukee, WI 53222-1468
Phone (414) 378-0268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1275192965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 W CAPITOL DR APT 1",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532221468",
"telephone_number": "414-378-0268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 W CAPITOL DR APT 1",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532221468",
"telephone_number": "414-378-0268"
}
],
"practiceLocations": [
{
"address_1": "9700 W Capitol Dr Apt 2",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532221468",
"country_code": "US",
"telephone_number": "414-378-0268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "LAKIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.