MS. SHATONNE DIANNE JACKSON LPN
NPI 1568897783
Nursing Facility/Intermediate Care Facility in Dayton, OH

NPI Status: Active since September 06, 2013

Contact Information

616 ELLSWORTH DR
DAYTON, OH
ZIP 45426
Phone: (937) 581-5081

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  • Individual
  • Female
  • Nursing Facility/Intermediate Care Facil...

About SHATONNE JACKSON

This page provides the complete NPI Profile along with additional information for Shatonne Jackson, a provider established in Dayton, Ohio with a medical specialization in Nursing Facility/intermediate Care Facility. The healthcare provider is registered in the NPI registry with number 1568897783 assigned on September 2013. The practitioner's primary taxonomy code is 313M00000X with license number 149943 (OH). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1568897783
Provider Name
MS. SHATONNE DIANNE JACKSON LPN
Gender
Female
Entity Type
Individual
Location Address
616 ELLSWORTH DR DAYTON, OH 45426
Location Phone
(937) 581-5081
Mailing Address
616 ELLSWORTHY DR DAYTON, OH 45426
Mailing Phone
(937) 581-5081
Is Sole Proprietor?
Yes
Enumeration Date
09-06-2013
Last Update Date
09-06-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nursing Facility/Intermediate Care Facility

Taxonomy Code
313M00000X
Type
Nursing & Custodial Care Facilities
License No.
149943
License State
OH
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568897783
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2512816914716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 6 + 9 + 1 + 4 + 7 + 1 + 6 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1568897783 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568897783, enumerated in the NPI registry as an "individual" on September 06, 2013

The provider is located at 616 Ellsworth Dr Dayton, Oh 45426 and the phone number is (937) 581-5081

The provider's speciality is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X

This NPI record was last updated on September 06, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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