Individual provider Active NPI

Ta'Sheika Jackson

  • Phlebotomy Technician
  • Lake City, FL
National Provider Identifier
1407646813
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Practice address
226 S Marion Ave
Lake City, FL 32025-7058
Phone
(866) 332-5682
Fax
(866) 332-5682
NPI assigned
May 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X Primary

Addresses

Primary practice location

226 S Marion Ave
Lake City, FL 32025-7058

Mailing address

250 NW Main Blvd Ste 12
Lake City, FL 32055-3380
Phone (866) 332-5682

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Diagnostics LLC Phlebotomy CurrentSince Jun 1, 2025 Accepting new patients

Locations

2781 E US Highway 90
Lake City, FL 32055

250 NW Main Blvd
Ste 12
Lake City, FL 32055

226 S Marion Ave
Lake City, FL 32025
Phone (866) 332-5682

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1407646813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NW MAIN BLVD STE 12",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553380",
            "telephone_number": "866-332-5682",
            "fax_number": "866-332-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S MARION AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320257058",
            "telephone_number": "866-332-5682",
            "fax_number": "866-332-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TA'SHEIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.