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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LA VAUGHNZA MARIE JACKSON
NPI 1598677676
Student in an Organized Health Care Education/Training Program in Bay Shore, NY

Active since September 22, 2026
1448 5TH AVE, BAY SHORE, NY 11706(631) 844-5913 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About La Vaughnza Marie Jackson NPPES

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

LA VAUGHNZA MARIE JACKSON (NPI 1598677676) is an individual student in an organized health care education/training program in Bay Shore, New York and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1598677676
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLA VAUGHNZA MARIE JACKSON
Location Address1448 5TH AVEBay Shore, NY 11706-4147
Mailing Address1448 5th AveBay Shore, NY 11706-4147
Phone(631) 844-5913
Sole ProprietorYes
Enumeration DateSeptember 22, 2026
NPPES CertifiedSeptember 22, 2026
✔ NPI 1598677676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1448 5TH AVE, Bay Shore, NY 11706
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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.

CAROLINE GRACE HOLOCHWOST
Counselor (Addiction (Substance Use Disorder))
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3100
SARA MICHELLE GREICHE
Student in an Organized Health Care Education/Training Program
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 309-6900
BRITTANI MINGOIA
Counselor (Mental Health)
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 309-6900
JENNIFER AYDEE FUENTES
Social Worker
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 647-3100
JONICE E SCOTT LCSW
Social Worker (Clinical)
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 309-6900
ALYSSA TKACZ
Student in an Organized Health Care Education/Training Program
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 309-6900
CAITLIN BURKE LMSW
Social Worker
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 309-6900
HEIDI MARIE OBRIEN
Case Manager/Care Coordinator
1448 5TH AVE
BAY SHORE, NY 11706
Suffolk County (631) 470-6788

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 La Vaughnza Jackson's NPI number?

The NPI number for La Vaughnza Jackson is 1598677676. It was assigned to this individual provider in the NPPES registry on September 22, 2026.

Where is La Vaughnza Jackson located?

La Vaughnza Jackson practices at 1448 5th Ave, Bay Shore, NY 11706. The listed phone number is (631) 844-5913.

What is La Vaughnza Jackson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for La Vaughnza Jackson was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.