Individual Healthcare Provider
Shannon Jackson, RN
Provider's NPPES record last updated: July 20, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1053051292
- Primary Specialty
- Registered Nurse — Continuing Education/Staff Development
- Practice Location
- Compton, California
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 7:33 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Registered Nurse
Continuing Education/Staff Development
Nursing Service Providers
Definition to come...
Taxonomy code 163WC1600X Case Manager/Care Coordinator
Other Service Providers
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Taxonomy code 171M00000XHealth & Wellness Coach
Other Service Providers
The Health & Wellness Coach is trained in motivational theories, strategies, and communication techniques, which are used to assist patients to develop intrinsic motivation and obtain skills to create sustainable change for improved health and well-being. Health and wellness coaching is a patient-centered approach wherein patients at least partially determine their goals, use self-discovery or active learning processes together with content education to work toward their goals, and self-monitor behaviors to increase accountability, all within the context of an interpersonal relationship with a coach.
Taxonomy code 171400000XHealth Educator
Other Service Providers
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.
Taxonomy code 174H00000XPrevention Professional
Other Service Providers
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
Taxonomy code 405300000XCounselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800XRegistered Nurse
Diabetes Educator
Nursing Service Providers
Definition to come...
Taxonomy code 163WD0400X
Provider-Reported License Information
- Registered Nurse (California)
- 482450
- Case Manager/Care Coordinator (California)
- 482450
- Health & Wellness Coach (California)
- 482450
- Health Educator (California)
- 482450
- Prevention Professional (California)
- 482450
- Counselor (California)
- 482450
- Registered Nurse (California)
- 482450
Practice Locations
Practice Location
618 W School St
Compton, California 90220-1923
Phone: (310) 933-8253
Record Information
- Enumeration Date
- March 29, 2022
- Provider's NPPES Record Last Updated
- July 20, 2023
- Certification Date
- July 20, 2023
- NPISignal NPPES Dataset
- August 2026
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