Jackson Onesource Solutions, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

JACKSON ONESOURCE SOLUTIONS, LLC

Practice address

15 Gould Street
Kewanee, MO 63860

Phone

(573) 748-8198

NPI assigned

Apr 24, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Deasia Newson Jackson, CPTNPI 1245172501

Title

Owner

Phone

(573) 748-8198

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deasia Newson Jackson, CPT, CNA, RPHT

  • Phlebotomy Technician
  • Kewanee, MO
  • NPI 1245172501
  NPD Authorized official

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

{
    "created_epoch": "1776988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1720924749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "KEWANEE",
            "state": "MO",
            "postal_code": "638600115",
            "telephone_number": "573-748-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GOULD STREET",
            "city": "KEWANEE",
            "state": "MO",
            "postal_code": "63860",
            "telephone_number": "573-748-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON ONESOURCE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-24",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DEASIA",
        "authorized_official_middle_name": "NEWSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-748-8198",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bootheel in-Home Care Services, LLC
• Bootheel Senior Services, Inc.
• Deasia Newson Jackson, CPT, CNA, RPHT

• Clinical Medical Laboratory in Kewanee, MO
• Providers in Kewanee, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.