Kyra Jackson, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.409327 Issued in OH

Practice address

990 Hartford Ave
Akron, OH 44320-2740

Phone

(330) 620-8293

NPI assigned

Jan 26, 2016

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

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.

• Liberty Healthcare Solutions LLC

  • Home Health Agency
  • Akron, OH
  • NPI 1457019556
  NPD Authorized official
• Kyra Truss

  • Nursing Care Agency
  • Akron, OH
  • NPI 1134586514
  NPD (past)

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1962869651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 HARTFORD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202740",
            "telephone_number": "330-620-8293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 HARTFORD AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202740",
            "telephone_number": "330-620-8293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "KYRA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.409327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Jackson
• Juan D Jackson
• Katrina M Jackson
• Kayla Jackson
• Keno D Jackson, LSW,MSW
• Lanesha Laray Jackson, STNA
• Larissa Jackson
• Lillie Jackson, LSW
• Marie Jackson
• Michael Jackson

• Registered Nurse in Akron, OH
• Providers in Akron, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.