SHAMMI JACKSON
NPI 1558004309
Technician - Personal Care Attendant in Atoka, OK

Active since April 19, 2022
1680 S GREATHOUSE DRIVE, ATOKA, OK 74525(580) 297-6965(580) 297-6965 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2023, Apr 19, 2022 (2 updates tracked since 2022).

About Shammi Jackson NPPES

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

SHAMMI JACKSON (NPI 1558004309) is an individual personal care attendant in Atoka, Oklahoma and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1558004309
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NameSHAMMI JACKSON
Location Address1680 S GREATHOUSE DRIVEAtoka, OK 74525-7452
Mailing Address1775 S Greathouse DrAtoka, OK 74525-3434 · (580) 297-6965 · Fax (580) 324-4181
Fax(580) 297-6965
Sole ProprietorYes
Enumeration DateApril 19, 2022
Last NPPES UpdateJanuary 27, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
NPI 1558004309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
1680 S GREATHOUSE DRIVE, Atoka, OK 74525

Other Identifiers 1

Medicaid100683770AOK

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.

Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Student in an Organized Health Care Education/Training Program
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525
Technician (Personal Care Attendant)
1680 S GREATHOUSE DRIVE
ATOKA, OK 74525

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 Shammi Jackson's NPI number?

The NPI number for Shammi Jackson is 1558004309. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Shammi Jackson located?

Shammi Jackson practices at 1680 S Greathouse Drive, Atoka, OK 74525. The listed phone number is (580) 297-6965.

What is Shammi Jackson's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Shammi Jackson was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.