Krystal Lynn Jackson

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

5411 Knollwood Dr Apt 9
Parma, OH 44129-1660

Phone

(216) 262-7444

NPI assigned

Oct 9, 2023

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1780465682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 KNOLLWOOD DR APT 9",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441291660",
            "telephone_number": "216-262-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 KNOLLWOOD DR APT 9",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441291660",
            "telephone_number": "216-262-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KRYSTAL",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Elizabeth Iverson
• Whitney Jablonski, CNP
• Maureen Jack
• Camille Jackson
• Eleanor Jayne Jackson, SLP
• Laruth Renee Jackson
• Olivia Spoerl Postich Jackson, MS, RD, LD
• Lisa M Jakab, AUD
• Alexander Jakubowycz, MD
• Patricia Jalandoni, LSW

• Homemaker in Parma, OH
• Providers in Parma, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.