Individual provider

Shiniece Jackson

Licensed Practical Nurse Deactivated record

Shiniece Jackson is a Licensed Practical Nurse in Syracuse, NY, registered under NPI 1063668051. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

This NPI is deactivated. The provider has retired, changed registration, or the number was retired by CMS. Details below are kept for reference — do not rely on them to arrange care.

Getting there

The practice address on file is 5813 S SALINA ST, Syracuse, NY 13205. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

5813 S SALINA ST, Syracuse, NY 13205 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
263257-1 NY Licensed Practical Nurse primary

This provider holds licence 263257-1 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Licensed Practical Nurse covers

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. NUCC Health Care Provider Taxonomy, code 164W00000X
Nursing Service Providers Licensed Practical Nurse

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1063668051 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 11, 2008
Last updatedFeb 15, 2022
StatusDeactivated
Sole proprietorYes
Practice address 5813 S SALINA ST
Syracuse, NY 13205
(315) 380-4864
The last update on file is Feb 15, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1063668051 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 6 3 6 6 8 0 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 3 3 3 6 7 0 1

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1063668051?
NPI 1063668051 is the National Provider Identifier assigned to Shiniece Jackson in Syracuse, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Licensed Practical Nurse cover?
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
How do I contact Shiniece Jackson?
The phone number on file with NPPES is (315) 380-4864, last updated Feb 15, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1063668051 a valid number?
Yes. 1063668051 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.