SUSAN T JACKSON (NPI# 1255449658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255449658 |
| Entity Type | Individual |
| Full Name | SUSAN T JACKSON |
| Credential | PHD, MSC |
| Practice Address |
3901 Rainbow Blvd Msc 4043 2032 School of Nursing Kansas City KS 66160-0001 |
| Mailing Address |
Po Box 307 Stilwell KS 66085-0307 |
| Practice Telephone | 8662499736 |
| Mailing Telephone | 9135224894 |
| Mailing Fax Number | 7133449420 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2009-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 480 | KS | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IND. BCBS PROVIDER NUMBER | 18427026 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407316003 | Susan Jackson | Pharmacist | 1022 Sealyham Ct, Reynoldsburg, OH 43068-4763 | 2019-03-21 |
| 1831624113 | Susan Jackson | Speech-Language Pathologist | 616 W Virginia Ave, Sebring, OH 44672-1142 | 2017-04-25 |
| 1487064986 | Susan Jackson | Social Worker | 425 W 48th St, 4k, New York, NY 10036 | 2014-05-06 |
| 1538476601 | Susan Jackson | Pharmacist | 5540 S 900 E, Salt Lake City, UT 84117-7206 | 2010-09-09 |
| 1609042639 | Susan Jackson | Physical Therapist | 3275 Soft Breeze Cir, West Melbourne, FL 32904-7710 | 2008-04-30 |
| 1073781613 | Susan Jean Jackson | Physical Therapist | 901 W 9th St Apt 414, Austin, TX 78703-4629 | 2008-02-18 |
| 1699951368 | Susan Elizabeth Jackson | Nurse Practitioner | 20 Mair Ave, Totowa, NJ 07512-2313 | 2008-01-12 |
| 1780749671 | Susan Marie Jackson | Family Medicine | 25066 Sr 11, Hallstead, PA 18822 | 2006-12-22 |
| 1871048520 | Susan Marie Jackson | Case Manager/Care Coordinator | 1125 W 6th St, Los Angeles, CA 90017-1833 | 2016-08-23 |
| 1760835300 | Susan H Jackson | Marriage & Family Therapist | 8350 Archibald Ave Ste 125, Rancho Cucamonga, CA 91730-7701 | 2016-07-19 |
| Street Address |
3901 RAINBOW BLVD MSC 4043 2032 SCHOOL OF NURSING |
| City | KANSAS CITY |
| State | KS |
| Zip Code | 66160-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942313648 | Aaron J Schroeder | Audiologist | 3901 Rainbow Blvd Msc 4043, 2032 School of Nursing, Kansas City, KS 66160-0001 | 2006-08-16 |
| 1013070390 | Joann M Peterson | Nurse Practitioner | 3901 Rainbow Blvd Msc 4043, Kansas City, KS 66160-0001 | 2006-12-18 |
| 1215045612 | Peggy Ellen Waggoner | Speech-Language Pathologist | 3901 Rainbow Blvd Msc 4043, 2032 School of Nursing, Kansas City, KS 66160-0001 | 2006-08-26 |
| 1427166834 | Perri E Cagle | Physical Therapist | 3901 Rainbow Blvd Msc 4043, 2032 School of Nursing, Kansas City, KS 66160-0001 | 2006-08-26 |
| 1124136544 | Mary K Johnston | Speech-Language Pathologist | 3901 Rainbow Blvd Msc 4043, 2032 School of Nursing, Kansas City, KS 66160-0001 | 2006-08-26 |
| 1568570984 | Jeffrey Paul Searl | Speech-Language Pathologist | 3901 Rainbow Blvd Msc 4043, 2032 School of Nursing, Kansas City, KS 66160-0001 | 2006-08-26 |
| 1093823403 | Neena K Sharma | Physical Therapist | 3901 Rainbow Blvd Msc 4043, 2032 School of Nursing, Kansas City, KS 66160-0001 | 2006-08-26 |
| 1003924408 | Karen H Haring | Speech-Language Pathologist | 3901 Rainbow Blvd Msc 4043, 2032 School of Nursing, Kansas City, KS 66160-0001 | 2006-08-26 |
| 1447364336 | Judith E Widen | Audiologist | 3901 Rainbow Blvd Msc 4043, 2032 School of Nursing, Kansas City, KS 66160-0001 | 2006-08-18 |
| 1902910961 | John A Ferraro | Audiologist | 3901 Rainbow Blvd Msc 4043, 2032 School of Nursing, Kansas City, KS 66160-0001 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541594 | Julian Diaz Abele | Plastic Surgery | 40000 Cambridge St. Sutherland Institute, Ms3015, Kansas City, KS 66160 | 2020-09-03 |
| 1831650670 | Autumn Brubaker | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd Ste Ms 2027, Kansas City, KS 66160 | 2019-03-26 |
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1871086876 | Mirna Asham | Student in an Organized Health Care Education/Training Program | Medical Office Building, 2000 Olathe Blvd, Kansas City, KS 66160 | 2018-06-13 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417451642 | Heather Schopper | Otolaryngology | 3901 Rainbow Blvd # Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1508360207 | Rachel Guest | Student in an Organized Health Care Education/Training Program | Kansas University Medical Center 4000 Cambridge St, Kansas City, KS 66160 | 2018-03-19 |
| 1891218541 | Elizabeth Swarna Mukherjee | Family Medicine | 2000 Olathe Blvd, Kansas City, KS 66160 | 2017-07-24 |
| 1609304112 | Zihan Masood | Neurological Surgery | The University of Kansas Medical Center, 3901 Rainbow Blvd, Ms 3021, Kansas City, KS 66160 | 2017-05-28 |
| 1144752601 | Lindsay Marie Baldridge | Student in an Organized Health Care Education/Training Program | 3901 Rainbow Blvd. M/s 4004, University of Kansas Pediatrics Residency, Kansas City, KS 66160 | 2017-04-03 |
| Find all providers in zip 66160 | ||||
| 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 |
|---|---|---|---|---|
| 1437765450 | Jordana D'neil Mancini | Speech-Language Pathologist | 1000 E 68th St, Kansas City, MO 64131 | 2020-09-16 |
| 1346860681 | Mikayla Rohde | Speech-Language Pathologist | 4728 Oak St Apt 1124, Kansas City, MO 64112-2242 | 2020-04-16 |
| 1083254296 | Enaam Myriam Shull | Speech-Language Pathologist | 2099 Olathe Blvd Mailstop 4004, Kansas City, KS 66160-0001 | 2020-01-15 |
| 1669017620 | Logos Speech Therapy LLC | Speech-Language Pathologist | 430 E Blue Ridge Blvd, Kansas City, MO 64145-1422 | 2019-11-14 |
| 1316589906 | Laurel Elisabeth Anderson | Speech-Language Pathologist | 5290 Sycamore Ave, Kansas City, MO 64129-2365 | 2019-10-15 |
| 1518509595 | Janine Marie Baker | Speech-Language Pathologist | 6490 Altus Dr, Kansas City, MO 64152-3857 | 2019-10-11 |
| 1528619905 | Arisa Mae Shaw | Speech-Language Pathologist | 8500 E 77th St, Kansas City, MO 64138-1207 | 2019-09-26 |
| 1861042673 | Elyssa Rhodes | Speech-Language Pathologist | 4900 Pittman Rd, Kansas City, MO 64133-2259 | 2019-09-13 |
| 1720634256 | Keelin Althoff | Speech-Language Pathologist | 851 Nw 45th St Ste 110, Kansas City, MO 64116-4613 | 2019-08-12 |
| 1508423419 | Kolarik Speech Therapy LLC | Speech-Language Pathologist | 3608 Campbell St, Kansas City, MO 64109-2634 | 2019-05-26 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 66160 |
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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.