SHANTEL JACKSON (NPI# 1275997157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275997157 |
| Entity Type | Individual |
| Full Name | SHANTEL JACKSON |
| Credential | MS, CCC/SLP |
| Practice Address |
207a W Main St Clinton NC 28328-4048 |
| Practice Telephone | 9102990700 |
| Practice Fax Number | 9102990800 |
| Mailing Telephone | 9102990700 |
| Mailing Fax Number | 9102990800 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 11819 | NC | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952751729 | Shantel Jackson | Counselor | 1033 High St, Worthington, OH 43085-4026 | 2016-06-13 |
| Street Address |
207A W MAIN ST |
| City | CLINTON |
| State | NC |
| Zip Code | 28328-4048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801196373 | Restart, Inc. | Community/Behavioral Health | 207a W Main St, Clinton, NC 28328-4048 | 2010-10-29 |
| 1780082735 | Morgan Alyse Lewis-ortiz | Speech-Language Pathologist | 207a W Main St, Clinton, NC 28328-4048 | 2014-12-08 |
| 1235540923 | Lesley Matthis | Speech-Language Pathologist | 207a W Main St, Clinton, NC 28328-4048 | 2014-05-15 |
| 1871853176 | Lindsay B Horne | Speech-Language Pathologist | 207a W Main St, Clinton, NC 28328-4048 | 2012-05-21 |
| 1851651160 | Lesley Best | Speech-Language Pathologist | 207a W Main St, Clinton, NC 28328-4048 | 2012-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
| 1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
| 1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
| 1417123159 | Family First Support Center Inc | Community/Behavioral Health | 707 College St, Clinton, NC 28328 | 2008-05-02 |
| 1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
| 1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
| 1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
| 1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
| 1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
| 1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
| Find all providers in zip 28328 | ||||
| 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 |
|---|---|---|---|---|
| 1770112393 | Julie Warren Wheeler | Speech-Language Pathologist | 232 Beaman St Ste B, Clinton, NC 28328-2906 | 2020-04-06 |
| 1386291904 | Mara Ann Bartholomew | Speech-Language Pathologist | 8200 Pinewood Dr, Clinton, MD 20735-1487 | 2019-08-19 |
| 1588137442 | Rosalinda Garcia | Speech-Language Pathologist | 5410 Kirby Rd, Clinton, MD 20735-1421 | 2019-01-03 |
| 1861964637 | Andrea Livingston | Speech-Language Pathologist | 11204 Westbury Ct, Clinton, MD 20735-3961 | 2018-12-18 |
| 1558851204 | Kari Kristine Klein | Speech-Language Pathologist | 680 Illini Dr, Clinton, IL 61727-2289 | 2018-05-17 |
| 1215453154 | Casandra Brewer | Speech-Language Pathologist | 809 S 8th St, Clinton, MO 64735-2907 | 2017-08-22 |
| 1730543778 | Courtney Briggs | Speech-Language Pathologist | 502 S. 5th, Clinton, MO 64735 | 2016-04-06 |
| 1346605375 | Catherine Lagasse | Speech-Language Pathologist | 6303 Dutrow Ct, Clinton, MD 20735-3968 | 2015-12-17 |
| 1477948727 | Pamela Lahay | Speech-Language Pathologist | 200 Dans Cir, Clinton, SC 29325-3902 | 2015-04-03 |
| 1588052559 | Chatterbox Speech Therapy, LLC | Speech-Language Pathologist | 827 Nw 451st Rd, Clinton, MO 64735-9740 | 2014-12-29 |
| Find all providers in CLINTON | ||||
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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.