MANDY JACKSON (NPI# 1093365165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093365165 |
| Entity Type | Individual |
| Full Name | MANDY JACKSON |
| Practice Address |
108 Proprietors Ct Summerville SC 29485-3467 |
| Practice Telephone | 8439007761 |
| Mailing Telephone | 8439007761 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7056 | SC | Speech, Language and Hearing Service Providers |
| Street Address |
108 PROPRIETORS CT |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-3467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| 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 |
|---|---|---|---|---|
| 1821605965 | Rachel Duncan | Speech-Language Pathologist | 9730 Dorchester Rd Unit 206, Summerville, SC 29485-9034 | 2020-09-23 |
| 1063020824 | Kathleen Covert | Speech-Language Pathologist | 202 Donning Dr, Summerville, SC 29483-2843 | 2020-07-17 |
| 1952921454 | Cooper River Pediatric Therapy LLC | Speech-Language Pathologist | 119 Callibluff Dr, Summerville, SC 29486 | 2020-04-24 |
| 1457982704 | Adreanna Truesdell Paschal | Speech-Language Pathologist | 1611 Farm Springs Rd, Summerville, SC 29483-0843 | 2020-01-27 |
| 1750930541 | Sean Lefferts | Speech-Language Pathologist | 221 Stallsville Road, Summerville, SC 29485-4934 | 2019-09-05 |
| 1366001596 | Sweetgrass Speech and Language, LLC | Speech-Language Pathologist | 104 Scott Ct, Summerville, SC 29483-3775 | 2019-06-11 |
| 1902364961 | Alison Terry Speech Services, LLC | Speech-Language Pathologist | 137 Musket Loop, Summerville, SC 29483-8985 | 2019-03-08 |
| 1699256081 | Denise Michelle Richardson | Speech-Language Pathologist | 201 School House Ln, Summerville, SC 29486 | 2018-08-24 |
| 1306325956 | Sandpiper Speech Therapy LLC | Speech-Language Pathologist | 207 Trillium Ave, Summerville, SC 29483-5564 | 2018-08-13 |
| 1164916359 | Guy Joseph Vinette II | Speech-Language Pathologist | 318 Saucer Rd, Summerville, SC 29486-0901 | 2018-06-20 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.