JOHN JACKSON (NPI# 1063073310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063073310 |
| Entity Type | Individual |
| Full Name | JOHN JACKSON |
| Practice Address |
2143 Mohawk Trl Maitland FL 32751-3950 |
| Practice Telephone | 4077825219 |
| Mailing Telephone | 4077825219 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 77541 | MA | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1992202832 | John Jackson | Physical Therapy Assistant | 209 Lake St, Chittenango, NY 13037-1518 | 2018-04-08 |
| 1063911105 | John Martin Jackson | Physical Therapy Assistant | 11118 Lantern Way, North Chesterfield, VA 23236-3575 | 2018-02-05 |
| 1184164493 | John Jackson | Emergency Medical Technician, Paramedic | 137 S Newport Ave, Newport, WA 99156-1942 | 2017-03-06 |
| 1508236837 | John Willard Jackson | Anesthesiology | 7857 Caruth Ct, Dallas, TX 75225-8133 | 2015-09-29 |
| 1043572035 | John Ferndale Jackson | Behavioral Analyst | 931 Azure Heights Place, Las Vegas, NV 89110 | 2012-06-14 |
| 1679830558 | John Michael Jackson | Pharmacist | 1000 Castlebay, Cincinnati, OH 45245-4910 | 2012-04-18 |
| 1013043553 | John Phillip Jackson | Occupational Therapist | 7810 Avenue U Apt B, Lubbock, TX 79423-2430 | 2007-02-26 |
| 1275673451 | John W Jackson | Pharmacist | 1667 Bellemeade Dr, Altoona, PA 16602-7402 | 2007-02-07 |
| 1720162779 | John Andrew Jackson | Dentist | 600 Division Ave, Suite E., San Antonio, TX 78214-1350 | 2006-10-25 |
| Street Address |
2143 MOHAWK TRL |
| City | MAITLAND |
| State | FL |
| Zip Code | 32751-3950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302899 | Compassionate Care Psychiatry | Psychiatry & Neurology | 1717 Goldveiw Drive, Maitland, FL 32751 | 2020-09-24 |
| 1437763497 | Allstar Kids Behavioral Services, Inc | Counselor | 467 Lake Howell Rd Suite 102, Maitland, FL 32751 | 2020-09-06 |
| 1003428269 | Cmg- New Season- St. Louis Metro Treatment Center | Counselor | 2500 Maitland Center Parkway 250, Maitland, FL 32751 | 2020-08-19 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1699309518 | Karin Scotchie | Occupational Therapist | 1700 Monroe Rd, Maitland, FL 32751 | 2020-02-29 |
| 1184255929 | Counseling Specialists, Inc. | Counselor | 610 N. Wymore Rd., Suite 110, Maitland, FL 32751 | 2020-01-30 |
| 1427528074 | Auricular Health Center | Clinic/Center | 237 Lookout Place, Maitland, FL 32751 | 2018-11-27 |
| 1710456181 | Yadiel Munoz | Counselor | 5786, 225 S Swoope Ave # 211, Maitland, FL 32751 | 2018-11-15 |
| 1780152678 | Rebecca Hernandez | Case Manager/Care Coordinator | 1000 Winderley Pl Unit 221, Maitland, FL 32751 | 2018-11-08 |
| 1548742901 | David Cromer | Social Worker | 225 S. Swoope Ave #211, Maitland, FL 32751 | 2018-09-02 |
| Find all providers in zip 32751 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710514088 | Katelyn Nelson | Speech-Language Pathologist | 190 Independence Ln Unit 265, Maitland, FL 32751-5663 | 2020-03-25 |
| 1194365908 | Brooke Rusoff | Speech-Language Pathologist | 2700 Westhall Ln Ste 250, Maitland, FL 32751-7403 | 2020-01-09 |
| 1043707193 | Susan Zimmon | Speech-Language Pathologist | 2336 Huron Trl, Maitland, FL 32751-4052 | 2018-04-15 |
| 1417489006 | Dominique Jones | Speech-Language Pathologist | 620 N Wymore Rd Ste 230, Maitland, FL 32751-4253 | 2017-04-01 |
| 1245616937 | Angelica Castaneda | Speech-Language Pathologist | 2644 Legacy Villas Dr, Maitland, FL 32751-7530 | 2015-08-04 |
| 1629468947 | Ariel Mcleggon | Speech-Language Pathologist | 220 Lookout Pl Ste 150, Maitland, FL 32751-8430 | 2015-01-24 |
| 1073913786 | Rachel Mangan | Speech-Language Pathologist | 2090 Dyan Way, Maitland, FL 32751 | 2014-08-29 |
| 1306175740 | Jacelyn Hall | Speech-Language Pathologist | 630 N. Maitland Avenue, Maitland, FL 32751 | 2009-12-14 |
| 1265670764 | Alyson C Toll | Speech-Language Pathologist | 1135 Charming St, Maitland, FL 32751-4264 | 2009-01-22 |
| 1083881783 | Speech & Language Pathology of C. Fl., Inc | Speech-Language Pathologist | 540 E Horatio Ave Ste 215, Maitland, FL 32751-7314 | 2008-05-12 |
| Find all providers in MAITLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.