Active NPI
Latoya Jackson
- Driver
- Garfield HTS, OH
National Provider Identifier
1659764645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 189795
- Practice address
- 4918 Neo Pkwy
Garfield HTS, OH 44128-3104 - Phone
- (216) 510-7941
- NPI assigned
- Mar 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 189795 | OH | Primary |
Addresses
Primary practice location
4918 Neo Pkwy
Garfield HTS, OH 44128-3104
Mailing address
4918 Neo Pkwy
Garfield HTS, OH 44128-3104
Phone (216) 510-7941
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 |
|---|---|---|---|
| 189795 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426377600000",
"number": "1659764645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4918 NEO PKWY",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "441283104",
"telephone_number": "216-510-7941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4918 NEO PKWY",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "441283104",
"telephone_number": "216-510-7941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "LATOYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-15",
"last_updated": "2015-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "189795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.