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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

OCTAVIA LANIECE JACKSON CCMA
NPI 1457278749
Nurse's Aide in Knoxville, TN

Active since June 30, 2026
2018 WESTERN AVE, KNOXVILLE, TN 37921(865) 544-0406(865) 544-0480 Get Directions Write a Review

NPPES record added: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Octavia Laniece Jackson Ccma NPPES

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

OCTAVIA LANIECE JACKSON CCMA (NPI 1457278749) is an individual nurse's aide in Knoxville, Tennessee and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1457278749
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameOCTAVIA LANIECE JACKSONCredential: CCMA
Location Address2018 WESTERN AVEKnoxville, TN 37921-5718
Mailing Address1923 Sulphur Springs RdMorristown, TN 37813-5654 · (423) 317-9344 · Fax (423) 714-2355
Phone(865) 544-0406
Fax(865) 544-0480
Sole ProprietorNo
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1457278749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
Definition

(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.

2018 WESTERN AVE, Knoxville, TN 37921
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIMBERLY EVANS
Licensed Practical Nurse
2018 WESTERN AVE
KNOXVILLE, TN 37921
Knox County (865) 544-0406
SHELBY PAIGE BUFFIN LCSW
Social Worker
2018 WESTERN AVE
KNOXVILLE, TN 37921
Knox County (865) 544-0406
LACEY ELIZABETH MORGAN-ROPPELT
Technician, Pathology (Phlebotomy)
2018 WESTERN AVE
KNOXVILLE, TN 37921
Knox County (865) 544-0406
MELISSA CAROL ZAYAS RN
Registered Nurse (Psychiatric/Mental Health)
2018 WESTERN AVE
KNOXVILLE, TN 37921
Knox County (865) 544-0406
SARAH GAIL LORD APN
Nurse Practitioner (Psychiatric/Mental Health)
2018 WESTERN AVE
KNOXVILLE, TN 37921
Knox County (865) 544-0406
COLBY SHANE HOWARD BS
Case Manager/Care Coordinator
2018 WESTERN AVE
KNOXVILLE, TN 37921
Knox County (865) 544-0406
MS. JACQUELINE BONSU PH.D.
Psychologist
2018 WESTERN AVE
KNOXVILLE, TN 37921
Knox County (865) 544-0406
AMANDA JEAN MELTON RN
Registered Nurse
2018 WESTERN AVE
KNOXVILLE, TN 37921
Knox County (865) 544-0406

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 Octavia Jackson's NPI number?

The NPI number for Octavia Jackson is 1457278749. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Octavia Jackson located?

Octavia Jackson practices at 2018 Western Ave, Knoxville, TN 37921. The listed phone number is (865) 544-0406.

What is Octavia Jackson's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Octavia Jackson was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.