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Lanetta Jackson , LPN

Licensed Practical Nurse β€’ Lakewood, OH

Active NPI 1417344664 Individual Practitioner Female Practitioner
Practice location in NPPES

18915 Detroit Ext Apt 406
Lakewood, OH 441073234

Call 2167034778 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

18915 Detroit Ext Apt 406

Lakewood, OH 441073234

Telephone 2167034778

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lakewood and Ohio

15 active clinicians are listed under Licensed Practical Nurse with a practice address in Lakewood, OH (12,649 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lakewood

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-16
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location June 16, 2025

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

πŸ“
Updated Business Mailing Address June 16, 2025

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

πŸ‘€
Provider Name / Credentials Updated June 16, 2025

Recorded as LANETTA JACKSON, LPN

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

Homemaker

βœ…
NPI Profile Active June 03, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 03, 2015

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

πŸ“
Business Mailing Address (Initial Record) June 03, 2015

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

πŸ‘€
Provider Name / Credentials (Initial Record) June 03, 2015

Recorded as LANETTA MILTON, LPN

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

Licensed Practical Nurse (license number reported to NPPES: NY 2760411)

🟒
Initial NPI Registration & Enumeration April 24, 2015

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.