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Deactivated NPI 1780973388 Deactivated / Inactive NPI Female Practitioner

Iesha La'toya Jackson , CNA

Day Training, Developmentally Disabled Services • Saint Augustine, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Iesha Jackson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 04, 2011
NPI Deactivation Date July 26, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Iesha Jackson, CNA was a registered Day Training, Developmentally Disabled Services practicing in Saint Augustine, FL. Throughout an active medical career spanning 13 years, Iesha Jackson provided care at the practice location at 17111 HARBOUR VISTA CIR until profile deactivation on 2024-07-26.

Practice Location & Contact Primary Location

Practice Address

17111 Harbour Vista Cir

Saint Augustine, FL 320805113

Telephone 9043430228

Specialty Benchmarks & Practice Insights

Comparative analytics for Day Training, Developmentally Disabled Services in Saint Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Saint Augustine, FL (414 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

Day Training, Developmentally Disabled Services Primary Specialty

NUCC Taxonomy Code: 251C00000X

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 26, 2024

Record deactivated on July 26, 2024

NPI Profile Active April 04, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 04, 2011

Registered at 17111 HARBOUR VISTA CIR, SAINT AUGUSTINE, FL 320805113 (Tel: 9043430228)

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Updated Business Mailing Address April 04, 2011

Registered at 17111 HARBOUR VISTA CIR, SAINT AUGUSTINE, FL 320805113 (Tel: 9043430228)

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Provider Name / Credentials Updated April 04, 2011

Recorded as IESHA JACKSON, CNA

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 04, 2011

Day Training, Developmentally Disabled Services

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Initial NPI Registration & Enumeration April 04, 2011

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: 1780973388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 04, 2011
Last Update: April 04, 2011
Deactivation Date: July 26, 2024

Mailing Address

17111 Harbour Vista Cir

Saint Augustine, FL 320805113

Phone: 9043430228

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.