Ikishia N Jackson, R.N

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

652238 Issued in PA

Practice address

625 E Girard Ave Apt 1
Philadelphia, PA 19125-3400

Phone

(267) 439-0966

Fax

(215) 425-4414

NPI assigned

Jun 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 10

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Caring Hands Adult Day Center

  • Adult Day Care Clinic/Center
  • Philadelphia, PA
  • NPI 1669145561

  Respite Care

  NPD Authorized official
• CHPH Transportation

  • Non-emergency Medical Transport (VAN)
  • Philadelphia, PA
  • NPI 1821761990
  NPD Authorized official
• Caring Hands Personal Homes Agency Inc

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1285087734

  Case Management

  NPD

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1912357682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E GIRARD AVE APT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253400",
            "telephone_number": "267-439-0966",
            "fax_number": "215-425-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E GIRARD AVE APT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253400",
            "telephone_number": "267-439-0966",
            "fax_number": "215-425-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "IKISHIA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "R.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "06650501",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "PA",
            "license": "06650501",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "06650501",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "06650501",
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": "PA",
            "license": "06650501",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PA",
            "license": "06650501",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "06650501",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "PA",
            "license": "06650501",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "PA",
            "license": "06650501",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "652238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103310350-001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine Jackson, LCPC
• Elijah Jagger Jackson, LCSW
• Fatima Jackson
• Gabriella Jackson
• Gail M Jackson, MA
• Janeira Jackson
• Jennifer Ellis Jackson, MD
• Jessica Ray Jackson, M.D.
• Jordan N Jackson, DDS
• Julia Lamarre Jackson, D.M.D

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.