IndividualActive
Shawntae Jackson
NPI 1558071399 · Personal Care Attendant · Portland, OR
Shawntae Jackson is a Personal Care Attendant provider in Portland, OR (NPI 1558071399).
Provider details
- NPI number
- 1558071399
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% 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
2270 Nw Overton St
Portland, OR 97210-2927
Phone: (503) 241-6051
Street-level locationGet directions
Mailing address
Po Box 8459
Portland, OR 97207-8459
Registry dates
- Enumerated
- 2022-12-02
- Last updated
- 2022-12-02
- Certified
- 2022-12-02
Frequently asked questions
- What is Shawntae Jackson's NPI number?
- Shawntae Jackson's National Provider Identifier (NPI) is 1558071399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shawntae Jackson's specialty?
- Shawntae Jackson is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
- Where is Shawntae Jackson located?
- Shawntae Jackson's practice location on file with NPPES is 2270 Nw Overton St, Portland, OR 97210-2927.
- What is Shawntae Jackson's phone number?
- The practice phone number listed in the NPPES registry for Shawntae Jackson is (503) 241-6051.
- Is Shawntae Jackson's NPI active?
- Yes — Shawntae Jackson's NPI (1558071399) is active in the NPPES registry as of the last update on 2022-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.