Ladeania Lilth Jackson, RN

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

RN166144 Issued in GA

Practice address

245 N Highland Ave NE # 230-232
Atlanta, GA 30307-1936

Phone

(470) 575-3554

NPI assigned

Jan 23, 2023

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

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1861108961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N HIGHLAND AVE NE # 230-232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071936",
            "telephone_number": "470-575-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N HIGHLAND AVE NE # 230-232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071936",
            "telephone_number": "470-575-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LADEANIA",
        "middle_name": "LILTH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "GA",
            "license": "RN166144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kia Jackson, M.ED.
• Kimberly Jackson, R.D.N..
• Kimberly Dione Jackson, MS,LPC
• Kira Jackson
• Kristy Lee Jackson, RN
• Lana Jean Jackson, P.A.
• Larette Denise Jackson, CRNA
• Latasha Rachele Jackson, MSN, APRN, PMHNP-BC
• Latisha Ranae Jackson
• Lauren Victoria Jackson, OD

• Infusion Therapy Registered Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Infusion Therapy Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.