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Active NPI 1568897783 Individual Practitioner Female Practitioner

Shatonne Dianne Jackson , LPN

Nursing Facility/Intermediate Care Facility • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Shatonne Jackson, LPN is a registered healthcare professional specializing in Nursing Facility/Intermediate Care Facility in Dayton, OH. Practice services are available at 616 ELLSWORTH DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

616 Ellsworth Dr

Dayton, OH 45426

Telephone 9375815081

Specialty Benchmarks & Practice Insights

Comparative analytics for Nursing Facility/Intermediate Care Facility in Dayton, OH

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

Practicing in Dayton, OH (9 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

Nursing Facility/Intermediate Care Facility Primary Specialty

NUCC Taxonomy Code: 313M00000X

State License OH 149943

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 06, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2013

Registered at 616 ELLSWORTH DR, DAYTON, OH 45426 (Tel: 9375815081)

📍
Updated Business Mailing Address September 06, 2013

Registered at 616 ELLSWORTHY DR, DAYTON, OH 45426 (Tel: 9375815081)

👤
Provider Name / Credentials Updated September 06, 2013

Recorded as SHATONNE JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2013

Nursing Facility/Intermediate Care Facility (License #149943 in OH)

🟢
Initial NPI Registration & Enumeration September 06, 2013

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: 1568897783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2013
Last Update: September 06, 2013
Sole Proprietor: Yes

Mailing Address

616 Ellsworthy Dr

Dayton, OH 45426

Phone: 9375815081

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.