Luke S Jackson, CRITICAL CARE RN

Primary specialty

Flight Registered NurseTaxonomy code 163WF0300X

License

RN79258 Issued in ME

Practice address

300 Main St
Lewiston, ME 04240-7027

Phone

(207) 275-2961

NPI assigned

Jun 23, 2026

Sex

Male

Sole proprietor

No

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": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1376479626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 ODLIN RD",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016703",
            "telephone_number": "207-275-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-275-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LUKE",
        "middle_name": "S",
        "credential": "CRITICAL CARE RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "ME",
            "license": "30299",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "ME",
            "license": "RN79258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna M Isherwood, FNP
• Abdoulkader Djama Isman
• Diana L Jackson, AGACNP
• Kashawn Jackson
• Lori K Jackson, P.A.
• Mariteresa Jackson
• Richard Jackson, M.D.
• Trena Jackson, LADC
• Abraham Jacob, MD
• Lori B Jacques, RN, CCM

• All providers in Lewiston, ME
• Flight Registered Nurse in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.