IndividualActive
Shawn Lackens
NPI 1104413244 · Registered Nurse · Dayton, OH
Shawn Lackens is a Registered Nurse provider in Dayton, OH (NPI 1104413244).
Provider details
- NPI number
- 1104413244
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- RN.387393 (OH)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4100 W 3rd St
Dayton, OH 45428-9000
Phone: (937) 268-6511
Street-level locationGet directions
Mailing address
2324 Rosina Dr
Miamisburg, OH 45342-6422
Registry dates
- Enumerated
- 2020-12-23
- Last updated
- 2020-12-23
- Certified
- 2020-12-23
Frequently asked questions
- What is Shawn Lackens's NPI number?
- Shawn Lackens's National Provider Identifier (NPI) is 1104413244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawn Lackens's specialty?
- Shawn Lackens is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Shawn Lackens located?
- Shawn Lackens's practice location on file with NPPES is 4100 W 3rd St, Dayton, OH 45428-9000.
- What is Shawn Lackens's phone number?
- The practice phone number listed in the NPPES registry for Shawn Lackens is (937) 268-6511.
- Is Shawn Lackens's NPI active?
- Yes — Shawn Lackens's NPI (1104413244) is active in the NPPES registry as of the last update on 2020-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.