Barbara A Jackson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.178748.MEDS-IV Issued in OH

Practice address

45 N Canfield Niles Rd Ste 4000
Austintown, OH 44515-2300

Phone

(844) 544-0502

NPI assigned

Apr 10, 2022

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

State licenses

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1730821885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N CANFIELD NILES RD STE 4000",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N CANFIELD NILES RD STE 4000",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152300",
            "telephone_number": "844-544-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 W Chalmers Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445111576",
            "country_code": "US",
            "telephone_number": "330-797-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BARBARA",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "178748",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.178748.MEDS-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tolga Icli, MD
• Richard Ingram
• Integrated Medical Management LLC
• Diana Lynn Isaacs, CNP
• Kamila Ivory, STNA
• Rachel Jackson, NP
• Jacques Bataille, O.D., Inc.
• Zoe Jarome
• Deshawn Jenkins
• Erick Jenkins

• Licensed Practical Nurse in Austintown, OH
• Providers in Austintown, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; 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.