Active NPI
Sherry A Jackson
- Home Health Aide
- Cross Lanes, WV
National Provider Identifier
1861388381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 5406 Sierra LN
Cross Lanes, WV 25313-1668 - Phone
- (304) 389-2706
- NPI assigned
- Jun 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | WV | ||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
5406 Sierra LN
Cross Lanes, WV 25313-1668
Mailing address
5192 Crystal Dr
Cross Lanes, WV 25313-1950
Phone (304) 389-2706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1861388381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5192 CRYSTAL DR",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131950",
"telephone_number": "304-389-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5406 SIERRA LN",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131668",
"telephone_number": "304-389-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "SHERRY",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-13",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "WV",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cross Lanes, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.