SHELLY JACKSON
NPI 1750823829
Licensed Practical Nurse in Lancaster, OH

NPI Status: Active since November 07, 2016

Contact Information

1592 GRANVILLE PIKE
LANCASTER, OH
ZIP 43130
Phone: (740) 687-0835

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

Individual
Female
Licensed Practical Nurse
CLIA Number: 36D0933566
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 02-09-2027

About SHELLY JACKSON

This page provides the complete NPI Profile along with additional information for Shelly Jackson, a provider established in Lancaster, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1750823829 assigned on November 2016. The practitioner's primary taxonomy code is 164W00000X with license number LPN- 145024 (OH). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI: 1750823829
Provider Name: SHELLY JACKSON
Gender: Female
Entity Type: Individual
Location Address: 1592 GRANVILLE PIKE LANCASTER, OH 43130
Location Phone: (740) 687-0835
Mailing Address: 1592 GRANVILLE PIKE LANCASTER, OH 43130
Is Sole Proprietor?: Yes
Enumeration Date: 11-07-2016
Last Update Date: 02-01-2017
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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: Licensed Practical Nurse
Taxonomy Code: 164W00000X
Type: Nursing Service Providers
License No.: LPN- 145024
License State: OH
Taxonomy Description: A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 36D0933566
Facility Type: Physician Office
Certificate Effective Date: February 10, 2025
Certificate Expiration Date: February 09, 2027
Laboratory Director: SHELLY L. THOMPSON
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Shelly Jackson in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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 1750823829, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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 → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 6

Pos 8

Unchanged

Pos 9

Doubled → 4

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 8 → 16 → 7 3 → 6 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 6 + 2 + 6 + 8 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9

This NPI is valid

The calculated check digit is 9, which matches the last digit of 1750823829.