TYRA JACKSON FNP-BC
NPI 1154284453
Pain Medicine - Interventional Pain Medicine in Hinsdale, IL

NPI Status: Active since December 04, 2025

Contact Information

120 N OAK ST
HINSDALE, IL
ZIP 60521
Phone: (630) 856-6825

NPI Profile Information
Primary Taxonomy
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Pain Medicine
Interventional Pain Medicine

About TYRA JACKSON

This page provides the complete NPI Profile along with additional information for Tyra Jackson, a provider established in Hinsdale, Illinois with a medical specialization in Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1154284453 assigned on December 2025. The practitioner's primary taxonomy code is 208VP0014X with license number 209.033340 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1154284453
Provider Name: TYRA JACKSON FNP-BC
Gender: Female
Entity Type: Individual
Location Address: 120 N OAK ST HINSDALE, IL 60521
Location Phone: (630) 856-6825
Mailing Address: 420 S. SCHMIDT RD, SUITE 110 BOLINGBROOK, IL 60440
Mailing Phone: (630) 312-4505
Is Sole Proprietor?: No
Enumeration Date: 12-04-2025
Last Update Date: 12-04-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Pain Medicine Interventional Pain Medicine
Taxonomy Code: 208VP0014X
Type: Allopathic & Osteopathic Physicians
License No.: 209.033340
License State: IL
Taxonomy Description: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154284453, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 10 → 1 + 0

Pos 4

Unchanged

Pos 5

Doubled → 4

Pos 6

Unchanged

Pos 7

Doubled → 8

Pos 8

Unchanged

Pos 9

Doubled → 10 → 1 + 0

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 2 → 4 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 4 + 8 + 8 + 4 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3

This NPI is valid

The calculated check digit is 3, which matches the last digit of 1154284453.