Jacksonscott2
NPI 1154869410 · Pediatric Skilled Nursing Facility · Milwaukee, WI
Jacksonscott2 is a Pediatric Skilled Nursing Facility organization in Milwaukee, WI (NPI 1154869410).
Provider details
- NPI number
- 1154869410
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Latasha Jackson, LPN(414) 517-2825
- License
- 317445-31 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2017-02-07
- Last updated
- 2017-02-07
Frequently asked questions
- What is Jacksonscott2's NPI number?
- Jacksonscott2's National Provider Identifier (NPI) is 1154869410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonscott2?
- Jacksonscott2 is classified in the NPPES registry as Pediatric Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Jacksonscott2 located?
- Jacksonscott2's practice location on file with NPPES is 4573 N. 22nd Street, Milwaukee, WI 53209.
- What is Jacksonscott2's phone number?
- The practice phone number listed in the NPPES registry for Jacksonscott2 is (414) 517-2825.
- Who is the authorized official for Jacksonscott2?
- The authorized official listed on Jacksonscott2's NPPES record is Latasha Jackson, LPN. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonscott2's NPI active?
- Yes — Jacksonscott2's NPI (1154869410) is active in the NPPES registry as of the last update on 2017-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.