Active NPI
Dashaus Jackson
- Licensed Practical Nurse
- Akron, OH
National Provider Identifier
1356169403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.190118
- Practice address
- 633 Ranney St
Akron, OH 44310-3934 - Phone
- (234) 352-9015
- NPI assigned
- Sep 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | LPN.190118 | OH | |
| Private Vehicle | 347C00000X | |||
| Licensed Practical Nurse | 164W00000X | LPN.190118 | OH | Primary |
Addresses
Primary practice location
633 Ranney St
Akron, OH 44310-3934
Mailing address
633 Ranney St
Akron, OH 44310-3934
Phone (234) 352-9015
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN.190118 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1356169403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 RANNEY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443103934",
"telephone_number": "234-352-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 RANNEY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443103934",
"telephone_number": "234-352-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "DASHAUS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-27",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "LPN.190118",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.190118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.