Deborah M Jackson, CARE GIVER

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

1026 Lexington Ave Apt 30
Dayton, OH 45402-5600

Phone

(937) 830-9284

NPI assigned

Dec 21, 2022

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": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1275245201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CAMBRIDGE AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454065005",
            "telephone_number": "937-830-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 LEXINGTON AVE APT 30",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454025600",
            "telephone_number": "937-830-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DEBORAH",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CARE GIVER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damaria Emaune Jackson, LPC
• Danielle Elizabeth Jackson, DPT
• Darryeon Jackson
• Dawanya Jackson
• Deborah Gail Jackson, LMT
• Deshae Renee Jackson, CD(DONA)
• Devonna C. Jackson
• Elizabeth Sheree Jackson, LSW
• Jalyssa Jackson
• Jasmine Nicole Jackson, LPN

• Homemaker in Dayton, OH
• Providers in Dayton, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.