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Active NPI 1588328637 Individual Practitioner Female Practitioner

Ebony Tamu Jackson , CLTC, CHHA, CCNA

Specialist • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Ebony Jackson, CLTC, CHHA, CCNA is a registered healthcare professional specializing in Specialist in Tulsa, OK. Practice services are available at 5930 E 31ST ST STE 550 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5930 E 31st St Ste 550

Tulsa, OK 741355121

Telephone 9183139591

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.6 Yrs
State Avg: 38.7 Yrs
Regional Practice Density
82 Specialists

Practicing in Tulsa, OK (463 Statewide)

Telehealth Adoption Rate
2.4% 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: 2021-10-25
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OK 37V954550119

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Health & Wellness Coach

NUCC Taxonomy Code: 171400000X

State License OK 37V954550119

The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.

In Home Supportive Care

NUCC Taxonomy Code: 253Z00000X

State License OK 37V954560119

An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Clinical Nurse Specialist - Gerontology

NUCC Taxonomy Code: 364SG0600X

State License OK 37V954550119

Definition to come...

Clinical Nurse Specialist - Long-Term Care

NUCC Taxonomy Code: 364SL0600X

State License OK 37V954550119

Definition to come...

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 25, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 25, 2021

Registered at 5930 E 31ST ST STE 550, TULSA, OK 741355121 (Tel: 9183139591)

📍
Updated Business Mailing Address October 25, 2021

Registered at 5930 E 31ST ST STE 550, TULSA, OK 741355121 (Tel: 9183139591)

👤
Provider Name / Credentials Updated October 25, 2021

Recorded as EBONY JACKSON, CLTC, CHHA, CCNA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2021

Health & Wellness Coach (License #37V954550119 in OK)

🟢
Initial NPI Registration & Enumeration October 25, 2021

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: 1588328637
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2021
Last Update: October 25, 2021
Sole Proprietor: Yes

Mailing Address

5930 E 31st St Ste 550

Tulsa, OK 741355121

Phone: 9183139591

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.