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Active NPI 1417344664 Individual Practitioner Female Practitioner

Lanetta Jackson , LPN

Licensed Practical Nurse • Lakewood, OH

Professional Overview & Biography Verified Profile Summary

Lanetta Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Lakewood, OH. Practice services are available at 18915 DETROIT EXT APT 406 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18915 Detroit Ext Apt 406

Lakewood, OH 441073234

Telephone 2167034778

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Lakewood, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.0 Yrs
Regional Practice Density
16 Specialists

Practicing in Lakewood, OH (13034 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: 2025-06-16
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 2760411

An individual 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.

Homemaker

NUCC Taxonomy Code: 376J00000X

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

10 Historical Events
📍
Updated Practice Location June 16, 2025

Registered at 18915 DETROIT EXT APT 406, LAKEWOOD, OH 441073234 (Tel: 2167034778)

📍
Updated Business Mailing Address June 16, 2025

Registered at 18915 DETROIT EXT APT 406, LAKEWOOD, OH 441073234 (Tel: 2167034778)

👤
Provider Name / Credentials Updated June 16, 2025

Recorded as LANETTA JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2025

Homemaker

NPI Profile Active June 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2015

Registered at 5923 CALHOUN DR, FREDERICKSBURG, VA 224076734 (Tel: 5712069768)

📍
Updated Business Mailing Address June 03, 2015

Registered at 5923 CALHOUN DRIVE, FREDERICKSBURG, VA 22407 (Tel: 5712069768)

👤
Provider Name / Credentials Updated June 03, 2015

Recorded as LANETTA MILTON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2015

Licensed Practical Nurse (License #2760411 in NY)

🟢
Initial NPI Registration & Enumeration April 24, 2015

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: 1417344664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2015
Last Update: June 16, 2025
Sole Proprietor: Yes

Mailing Address

18915 Detroit Ext Apt 406

Lakewood, OH 441073234

Phone: 2167034778

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.