MS. KYAWNA CHARELLE JACKSON LPN
NPI 1790290021
Licensed Practical Nurse in Cleveland, OH

NPI Status: Active since December 08, 2017

Contact Information

5209 EUCLID AVE
CLEVELAND, OH
ZIP 44103
Phone: (216) 785-0078

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  • Individual
  • Female
  • Licensed Practical Nurse

About KYAWNA JACKSON

This page provides the complete NPI Profile along with additional information for Kyawna Jackson, a provider established in Cleveland, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1790290021 assigned on December 2017. The practitioner's primary taxonomy code is 164W00000X with license number LPN.166346.MEDS-IV (OH). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1790290021
Provider Name
MS. KYAWNA CHARELLE JACKSON LPN
Gender
Female
Entity Type
Individual
Location Address
5209 EUCLID AVE CLEVELAND, OH 44103
Location Phone
(216) 785-0078
Mailing Address
5294 SHERWOOD DR FAIRVIEW PARK, OH 44126
Mailing Phone
(216) 374-5415
Is Sole Proprietor?
Yes
Enumeration Date
12-08-2017
Last Update Date
12-08-2017
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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

Licensed Practical Nurse

Taxonomy Code
164W00000X
Type
Nursing Service Providers
License No.
LPN.166346.MEDS-IV
License State
OH
Taxonomy Description
A licensed practical nurse 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.

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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.
1790290021
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2718049004
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 4 + 9 + 0 + 0 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1790290021 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962956490 ROBEN WATKINS
Individual
Counselor (Addiction (Substance Use Disorder))5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1770039497 DENISE REMINDER
Individual
Licensed Practical Nurse5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1740726207COMMUNITY ACTION AGAINST ADDICTION
Organization
Community/Behavioral Health5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1669911632 SHERLIE BAKER
Individual
Counselor (Addiction (Substance Use Disorder))5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 744-0004
1063941532 MARCIA N LAURY LPN
Individual
Licensed Practical Nurse5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1457866774MRS. PAMELA WILSON
Individual
Licensed Practical Nurse5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1396242426 ERCELL GOODMAN
Individual
Counselor5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1437633625 GLADYS V. HALL CDCA.167175
Individual
Counselor (Addiction (Substance Use Disorder))5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1730664715MR. DWAYNE ANTHONY BAILEY SR. C.D.C.A.
Individual
Counselor (Addiction (Substance Use Disorder))5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1811472863MRS. KATHLEEN BOONE LCDC II 161507
Individual
Counselor (Addiction (Substance Use Disorder))5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1477038123 TRACI J COLLINS
Individual
Counselor (Addiction (Substance Use Disorder))5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1336630219 SHELIA HARRIS
Individual
Counselor (Addiction (Substance Use Disorder))5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1932747912 ANGELENA BISHOP CCDCA
Individual
Counselor (Addiction (Substance Use Disorder))5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1669012142MRS. IFEOMA E EZEPUE CDCA
Individual
Counselor (Addiction (Substance Use Disorder))5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 749-2246
1871752519 ZIA ULLAH KHAN M.D
Individual
Family Medicine (Addiction Medicine)5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1447886981 ANDREW ANTHONY DAVIS-BEY CDCA
Individual
Counselor (Addiction (Substance Use Disorder))5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1588272090MS. CONNIE LYNN BRESSLER LSW
Individual
Social Worker5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1063556884COMMUNITY ACTION AGAINST ADDICTION
Organization
Clinic/Center5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765
1760093363 JASZMIN NICHOLE DAVIS LPN
Individual
Licensed Practical Nurse5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0756
1598363939 EVELYN JOHNSON
Individual
Licensed Practical Nurse5209 EUCLID AVE
CLEVELAND, OH 44103
(216) 881-0765

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790290021, enumerated in the NPI registry as an "individual" on December 08, 2017

The provider is located at 5209 Euclid Ave Cleveland, Oh 44103 and the phone number is (216) 785-0078

The provider's speciality is Licensed Practical Nurse with taxonomy code 164W00000X

This NPI record was last updated on December 08, 2017. 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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