Tyshawn Jackson
NPI 1992696769 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Omaha, NE
Tyshawn Jackson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility provider in Omaha, NE (NPI 1992696769).
Provider details
- NPI number
- 1992696769
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-07-10
- Last updated
- 2025-07-10
- Certified
- 2025-07-10
Frequently asked questions
- What is Tyshawn Jackson's NPI number?
- Tyshawn Jackson's National Provider Identifier (NPI) is 1992696769, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyshawn Jackson's specialty?
- Tyshawn Jackson is listed in the NPPES registry with a primary specialty of Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Tyshawn Jackson located?
- Tyshawn Jackson's practice location on file with NPPES is 1805 N 73rd St, Omaha, NE 68114-1905.
- What is Tyshawn Jackson's phone number?
- The practice phone number listed in the NPPES registry for Tyshawn Jackson is (402) 557-8583.
- Is Tyshawn Jackson's NPI active?
- Yes — Tyshawn Jackson's NPI (1992696769) is active in the NPPES registry as of the last update on 2025-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.