Ketura L Jackson, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2016003408 Issued in OH

Practice address

2020 Taylor Rd
Cleveland, OH 44112-2963

Phone

(216) 200-6552

Fax

(866) 611-2650

NPI assigned

Jul 31, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resihealth of Ohio Professional CorporationGroup PAC ID 1658737762, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

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.

• Resihealth of Ohio, Professional Corporation

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1114639861
  Medicare reassignment Care Compare group NPD
• Community Hospitalist, LLC

  • Hospitalist Physician
  • Lorain, OH
  • NPI 1538236872

  Family

  Medicare reassignment NPD
• Hni Medical Services of Ohio, LLC

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1356815922

  Family

  Medicare reassignment NPD
• Ohioguidestone

  • Developmental - Behavioral Pediatrics Physician
  • Berea, OH
  • NPI 1609123728
  Medicare reassignment NPD
• Traveling Nurse Practitioner, LLC

  • General Practice Registered Nurse
  • Wadsworth, OH
  • NPI 1588995849
  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  OH

  Medicare reassignment NPD
• Amaris Jean Aesthetics and Wellness LLC

  • Clinic/Center
  • Cleveland, OH
  • NPI 1043929078
  NPD Authorized official
• Ohioguidestone

  • Community/Behavioral Health Agency
  • Berea, OH
  • NPI 1174680557
  NPD
• Ohioguidestone

  • Family Medicine Physician
  • Lorain, OH
  • NPI 1487452603
  NPD

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1821229378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32028",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441320028",
            "telephone_number": "216-200-6552",
            "fax_number": "866-611-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 TAYLOR RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441122963",
            "telephone_number": "216-200-6552",
            "fax_number": "866-611-2650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25900 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Euclid",
            "state": "OH",
            "postal_code": "441322744",
            "country_code": "US",
            "telephone_number": "216-677-4342",
            "fax_number": "866-611-2650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441431223",
            "country_code": "US",
            "telephone_number": "216-677-4734",
            "fax_number": "866-611-2650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 E 156th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441101182",
            "country_code": "US",
            "telephone_number": "216-677-4342",
            "fax_number": "866-611-2650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KETURA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "2016003408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Jackson
• Julie Terese Jackson, LSW
• Kadijah C Jackson, RN
• Kalana Latriece Jackson, STNA
• Kathy Joy Jackson, MSSA, LSW
• Kim M Jackson, LISW
• Kimberly Scherie Jackson, RN
• Kristofer Jackson
• Kyawna Charelle Jackson, LPN
• Lalisha Reanee Jackson, MEDICAL ASSISTANT

• Family Nurse Practitioner in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.