STEPHANIE JACKSON (NPI# 1295176030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295176030 |
| Entity Type | Individual |
| Full Name | STEPHANIE JACKSON |
| Practice Address |
2708 Ne 14th St Apt 5 Pompano Beach FL 33062-3564 |
| Mailing Address |
1602 Jackson St Lake Charles LA 70601-2462 |
| Practice Telephone | 8888809270 |
| Mailing Telephone | 3374885713 |
| Mailing Fax Number | 3375640213 |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459934 | Stephanie Denise Jackson | Respite Care | 22321 W Morning Glory St, Buckeye, AZ 85326-7181 | 2019-10-23 |
| 1821578006 | Stephanie M Jackson | Nurse Practitioner | 1350 Market Street, 1st Floor, Lynnfield, MA 01940 | 2018-08-17 |
| 1427538016 | Stephanie Renee Jackson | Occupational Therapist | 626 Colosseo Way, San Antonio, TX 78253-5687 | 2018-08-14 |
| 1376955294 | Stephanie Jackson | Behavioral Analyst | 6131 Alpine Tree Ave, Las Vegas, NV 89139-6854 | 2014-05-27 |
| 1548601511 | Stephanie Jackson | Licensed Practical Nurse | 39 W. Yaphank Rd., Medford, NY 11763 | 2013-07-08 |
| 1134461361 | Stephanie K Jackson | Specialist | 1513 Sleepy Hollow Rd Unit A, Wenatchee, WA 98801-9132 | 2013-03-26 |
| 1073890828 | Stephanie Jackson | Massage Therapist | 3172 S Gilpin St, Englewood, CO 80113-3023 | 2011-11-08 |
| 1013177872 | Stephanie Colleen Jackson | Psychiatry & Neurology | 1950 Hope Valley Dr, Reno, NV 89521-3140 | 2008-06-13 |
| 1255512984 | Stephanie Brazeal Jackson | Nurse Practitioner | 711 Trestle Rd, Locust Grove, GA 30248-3465 | 2007-11-21 |
| 1992904155 | Stephanie Lynn Jackson | Dentist | 13521 Steelecroft Pkwy, Suite 100, Charlotte, NC 28278-7545 | 2007-07-17 |
| Street Address |
2708 NE 14TH ST APT 5 |
| City | POMPANO BEACH |
| State | FL |
| Zip Code | 33062-3564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992969000 | Jessica Leano | Developmental Therapist | 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 | 2008-07-17 |
| 1841626280 | Brenda Leigh Lopez | Developmental Therapist | 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 | 2013-09-17 |
| 1588090047 | Christian F Tovar | Developmental Therapist | 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 | 2013-09-16 |
| 1902231996 | Michelle Walker | Developmental Therapist | 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 | 2013-09-09 |
| 1215361456 | Juanita Davila | Developmental Therapist | 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 | 2013-08-23 |
| 1902244544 | Elizabeth Pini | Developmental Therapist | 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 | 2013-06-05 |
| 1023454501 | Lavonia Nichole Brown | Developmental Therapist | 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 | 2013-05-10 |
| 1538504170 | Erin Knecht | Developmental Therapist | 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 | 2013-05-09 |
| 1902241094 | Daniela Hagreaves | Developmental Therapist | 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 | 2013-05-03 |
| 1255775557 | Catherine Myers | Developmental Therapist | 2708 Ne 14th St Apt 5, Pompano Beach, FL 33062-3564 | 2013-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588265961 | Publix Super Markets, Inc | Durable Medical Equipment & Medical Supplies | 555 Channelside Dr, Tampa, FL 33062 | 2020-11-03 |
| 1396351821 | Brittney Eluett | Social Worker | 2637 E. Atlantic Blvd., Suite 38267, Pompano Beach, FL 33062 | 2020-09-21 |
| 1124537634 | Aaron Gabriel Grossman | General Practice | 2637 E Atlantic Blvd # 38598, Pompano Beach, FL 33062 | 2017-09-27 |
| 1790215309 | Daylis Perez-borroto Rodriguez | Dentist | 950 N Federal Hwy Suite 202, Pompano Beach, FL 33062 | 2017-06-15 |
| 1235686783 | Ican Benefit Group | Supports Brokerage | 2251 North Federal Highway, Pompano Beach, FL 33062 | 2016-09-01 |
| 1336503689 | Adriana Diaz Backer | Dentist | 2707 E. Atlantic Blvd, Pompano Beach, FL 33062 | 2016-04-12 |
| 1255723367 | Pierre G Lazore | Acupuncturist | 2637 E Atlantic Blvd # 119, Pompano Beach, FL 33062 | 2015-02-26 |
| 1467870386 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 2471 North Federal Highway, Pompano Beach, FL 33062 | 2014-03-29 |
| 1598192460 | Banyan Treatment and Recovery, LLC | Clinic/Center | 950 N. Federal Hwy, Suite 115, Pompano Beach, FL 33062 | 2013-10-08 |
| 1578905840 | Edwin C Delz | Dentist | 2323 Ne 26 Ave, Pompano Beach, FL 33062 | 2013-07-26 |
| Find all providers in zip 33062 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922428341 | Tammie King | Developmental Therapist | 160 Sw 6th Ct, Pompano Beach, FL 33060-8389 | 2014-04-24 |
| 1598191223 | Cameisha Lashon Fox | Developmental Therapist | 4301 N. Federal Hwy, Suite 2 South, Pompano Beach, FLORIDA 33064 | 2013-09-26 |
| 1255767612 | Cathiana Raquel Torres | Developmental Therapist | 4301 N Federal Highway, Suite 2 South, Pompano Beach, FL 33064-2886 | 2013-09-17 |
| 1669805271 | Damond Jenkins | Developmental Therapist | 2708 Ne 14th Street Cswy, Suite 5, Pompano Beach, FL 33062-3565 | 2013-08-19 |
| 1588096481 | Katherine M Clifton | Developmental Therapist | North Federal Hwy, Suite 2 South, Pompano Beach, FL 33064 | 2013-08-01 |
| 1396187977 | Athena Stavroula Campos | Developmental Therapist | 4301 N Federal Highway, Butterfly Effects LLC, Suite 2 South, Pompano Beach, FL 33064 | 2013-07-23 |
| 1679914998 | Rachel Celeste Roman | Developmental Therapist | 4301 N Federal Highway Suite 2 South, Butterfly Effects LLC, Pompano Beach, FL 33064 | 2013-07-15 |
| 1952742538 | Brett Brown | Developmental Therapist | 2708 Ne 14th St Apt 5f, Pompano Beach, FL 33062-3564 | 2013-07-11 |
| 1972942381 | Amber L. Harrigfeld | Developmental Therapist | Butterfly Effects LLC, 4301 N Federal Highway, Suite 2 South, Pompano Beach, FL 33064 | 2013-06-19 |
| 1861830663 | Heather Patricia Gipp | Developmental Therapist | 43 N Federal Hwy Ste 2, Pompano Beach, FL 33062-4304 | 2013-06-13 |
| Find all providers in POMPANO BEACH | ||||
| City | POMPANO BEACH |
| Zip Code | 33062 |
Please comment or provide details below to improve the information on STEPHANIE JACKSON.
| 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.