Darlene Shamara Jackson, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.356658 Issued in OH

Practice address

135 Chestnut LN
306-J
Richmond Heights, OH 44143-1041

Phone

(216) 224-9224

NPI assigned

Jan 3, 2011

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294012800000",
    "number": "1730483983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CHESTNUT LN",
            "address_2": "306-J",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431041",
            "telephone_number": "216-224-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 CHESTNUT LN",
            "address_2": "306-J",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431041",
            "telephone_number": "216-224-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "DARLENE",
        "middle_name": "SHAMARA",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "OH",
            "license": "126907",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.356658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dionna M Jackson, LPN
• Shakirah Jackson
• Emery E Jamison
• Erwin Allen Jay, OD
• Jack Jeskey

• Registered Nurse in Richmond Heights, OH
• Providers in Richmond Heights, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.