Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629704499 Individual Practitioner Female Practitioner

Shantay Jackson

Homemaker • Davenport, FL

Professional Overview & Biography Verified Profile Summary

Shantay Jackson is a registered healthcare professional specializing in Homemaker in Davenport, FL. Practice services are available at 1954 MARABOU DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1954 Marabou Dr

Davenport, FL 338968616

Telephone 4079959094

Specialty Benchmarks & Practice Insights

Comparative analytics for Homemaker in Davenport, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Davenport, FL (774 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-25
Homemaker Primary Specialty

NUCC Taxonomy Code: 376J00000X

State License FL 422805

An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 25, 2022

NPI status registered as active in NPPES database

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Updated Practice Location July 25, 2022

Registered at 1954 MARABOU DR, DAVENPORT, FL 338968616 (Tel: 4079959094)

📍
Updated Business Mailing Address July 25, 2022

Registered at 1954 MARABOU DR, DAVENPORT, FL 338968616 (Tel: 4077176749)

👤
Provider Name / Credentials Updated July 25, 2022

Recorded as SHANTAY JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2022

Homemaker (License #422805 in FL)

🟢
Initial NPI Registration & Enumeration July 25, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629704499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2022
Last Update: July 25, 2022
Sole Proprietor: No

Mailing Address

1954 Marabou Dr

Davenport, FL 338968616

Phone: 4077176749

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.