SHAWNEE JACKSON
NPI 1104586981
Home Health Aide in Washington, DC

Q: What is Shawnee Jackson's NPI number?

The NPI number for Shawnee Jackson is 1104586981. It was assigned to this individual provider in the NPPES registry on December 21, 2021.

Q: What is Shawnee Jackson's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawnee Jackson was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 21, 2021

4660 MARTIN LUTHER KING JR AVE SW APT A314, WASHINGTON, DC 20032(202) 288-7398 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shawnee Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNEE JACKSON (NPI 1104586981) is an individual home health aide in Washington, District Of Columbia and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1104586981

Entity TypeIndividualFemale

Primary Taxonomy374U00000X

Provider Legal NameSHAWNEE JACKSON

Location Address4660 MARTIN LUTHER KING JR AVE SW APT A314Washington, DC 20032-4882

Mailing Address4660 Martin Luther King Jr Ave Sw Apt A314Washington, DC 20032-4882 · (202) 297-0657

Phone(202) 288-7398

Sole ProprietorNo

Enumeration DateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1104586981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

4660 MARTIN LUTHER KING JR AVE SW APT A314, Washington, DC 20032

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawnee Jackson's NPI number?

The NPI number for Shawnee Jackson is 1104586981. It was assigned to this individual provider in the NPPES registry on December 21, 2021.

Where is Shawnee Jackson located?

Shawnee Jackson practices at 4660 Martin Luther King Jr Ave SW Apt A314, Washington, DC 20032. The listed phone number is (202) 288-7398.

What is Shawnee Jackson's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Shawnee Jackson was last updated on December 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.