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Active NPI 1013493477 Individual Practitioner Female Practitioner

Kimiko Rena Jackson , LPN

Licensed Practical Nurse • Tacoma, WA

Professional Overview & Biography Verified Profile Summary

Kimiko Jackson, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Tacoma, WA. Practice services are available at 3629 S D ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3629 S D St

Tacoma, WA 984186813

Telephone 2537984612
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Tacoma, WA

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

Practicing in Tacoma, WA (1730 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

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WA LP60276858

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Karen Garvin , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1003391954
Janet Peterson , RN

Registered Nurse - Community Health

NPI 1053838078

Registered Nurse

Valerie Robertson

Licensed Practical Nurse

NPI 1063995652
Richard Buckwald

Nurse's Aide

NPI 1063996874
Kathryn Jennings , RN

Registered Nurse - Community Health

NPI 1073030193

Registered Nurse

Susan Shannon , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1083172613

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 18, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2018

Registered at 3629 S D ST, TACOMA, WA 984186813 (Tel: 2537984612)

📍
Updated Business Mailing Address July 18, 2018

Registered at 3629 S D ST, TACOMA, WA 984186813 (Tel: 2537984612)

👤
Provider Name / Credentials Updated July 18, 2018

Recorded as KIMIKO JACKSON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2018

Licensed Practical Nurse (License #LP60276858 in WA)

🟢
Initial NPI Registration & Enumeration July 18, 2018

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: 1013493477
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2018
Last Update: July 18, 2018
Sole Proprietor: No

Mailing Address

3629 S D St

Tacoma, WA 984186813

Phone: 2537984612

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.