Shalaya Yvette Jackson

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

1704 E Marion St
Shorewood, WI 53211-1521

Phone

(414) 206-9020

NPI assigned

Dec 18, 2025

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1285599548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 E MARION ST",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 E MARION ST",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532111521",
            "telephone_number": "414-206-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHALAYA",
        "middle_name": "YVETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna J. Horrigan, PT
• Ivaylo Hristov, LCSW
• Teresa M Humphrey, R.N.
• Shizuki Ide, PHARMACIST
• In-Your-Home Medicine & Geriatrics
• Jeffery Jensen, OD
• Benjamin Singer Johnson, D.M.D.
• Jamey L Johnston, C.AC
• Daniel Jonas, D.MIN.
• Michael Luther Jorn, PHD

• Non-emergency Medical Transport (VAN) in Shorewood, WI
• Providers in Shorewood, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.