Brittney M Jeter, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

043.109110 Issued in IL

Practice address

4437 Lincoln Hwy
Matteson, IL 60443-2317

Phone

(309) 533-3966

Fax

(309) 882-0065

NPI assigned

May 29, 2024

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

Practice roles

Locations

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.

• Young 60 Plus Club LLC.

  • Adult Day Care Clinic/Center
  • Matteson, IL
  • NPI 1205570942
  NPD Authorized official

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1760222517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 LINCOLN HWY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432317",
            "telephone_number": "309-533-3966",
            "fax_number": "309-882-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 LINCOLN HWY",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432317",
            "telephone_number": "309-533-3966",
            "fax_number": "309-882-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "BRITTNEY",
        "middle_name": "M",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "043.109110",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043.109110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn A Jackson, M.D.
• Jasmine Perkins & Company LLC
• Tamela S Jasper
• Christopher Jeffers
• Treacie Gill Jelks
• JK&D Transportation, Inc.
• Zahraa Jody
• David Allen Johnson, MSW, LCSW, LCAC,MAC
• Edria Johnson, LCSW
• Joy Johnson, LPCC

• Licensed Practical Nurse in Matteson, IL
• Providers in Matteson, IL by specialty
• Licensed Practical Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2024; 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.