Lauren Jackson

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.022860 Issued in OH

Practice address

444 N Cleveland Ave Ste 130
Westerville, OH 43082-8388

Phone

(614) 839-8222

NPI assigned

Aug 27, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10687/brand/1/csg/1/fhir/r4
• Direct secure messaging: lauren.jackson.1@33290.direct.athenahealth.com
• Direct secure messaging: lauren.jackson.1@10687.direct.athenahealth.com

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.

• Mount Carmel Health System

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1457617235
  Medicare reassignment NPD
• Oakstone Health Center

  • Primary Care Clinic/Center
  • Westerville, OH
  • NPI 1942514344
  Medicare reassignment NPD
• Wedgewood Urgent Care, LTD

  • Family Medicine Physician
  • Powell, OH
  • NPI 1487601167
  Medicare reassignment NPD
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  OH

  Medicare reassignment
• Mount Carmel Health System

  • General Acute Care Hospital
  • Dublin, OH
  • NPI 1710752183
  NPD
• Children'S Center for Developmental Enrichment

  • Speech-Language Pathologist
  • Westerville, OH
  • NPI 1659556215
  NPD (past)
• Heart of Ohio Pediatrics LLC

  • Pediatrics Physician
  • Newark, OH
  • NPI 1568116317
  NPD (past)
• Immediate Health Associates

  • Emergency Medicine Physician
  • Westerville, OH
  • NPI 1639123193
  NPD (past)
• Pro-Active Wound Care Clinics LLC

  • Foot & Ankle Surgery Podiatrist
  • Dublin, OH
  • NPI 1467485813
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1629559778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CLUB DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814909",
            "telephone_number": "614-899-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N CLEVELAND AVE STE 130",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828388",
            "telephone_number": "614-839-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.022860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.jackson.1@10687.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "900 Club Dr",
            "city": "Westerville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430814909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danazha Jackson, RBT
• Deborah A Jackson I
• Karen Jackson
• Karen A Jackson
• Katy Jackson
• Paulette KR Jackson, LSW
• Sarah Jackson
• Terra Lyn Jackson, MSN, APRN, FNP-C
• Elizabeth Mary Jacob, MD
• Carla Sue Jacobs, D.C.

• Nurse Practitioner in Westerville, OH
• Providers in Westerville, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.