MRS. JESSICA ROSE BRADDOCK (NPI# 1427181411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427181411 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA ROSE BRADDOCK |
| Credential | MS CCC-SLP |
| Practice Address |
23 Mason St Laurel MS 39440-4437 |
| Mailing Address |
106 Wildwood Trl Petal MS 39465-2673 |
| Practice Telephone | 6013990539 |
| Practice Fax Number | 6013991617 |
| Mailing Telephone | 6014985591 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | S3023 | MS | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124340351 | Jessica Ann Braddock | Physical Therapy Assistant | 4495 Roosevelt Blvd, Suite #317, Jacksonville, FL 32210-3375 | 2010-02-15 |
| Street Address |
23 MASON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629058094 | South Central Regional Medical Center | Ambulance | 23 Mason St, Laurel, MS 39440-4437 | 2006-01-20 |
| 1568007045 | Natalie Day Gibbes | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2019-11-08 |
| 1003466210 | Kirk L Landrum | Specialist/Technologist | 23 Mason St, Laurel, MS 39440-4437 | 2019-09-19 |
| 1114141975 | Sherri Leigh Forehand | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-04-12 |
| 1609994086 | Lydia S. Mitchell | Occupational Therapy Assistant | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-26 |
| 1326165093 | Carrie Elizabeth Freeman | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-26 |
| 1871619528 | Marsha Diane Boyd | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-22 |
| 1124143185 | Ashley C Shoemaker | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39441 | 2007-03-20 |
| 1457476467 | Chanelle Alis Cooley | Occupational Therapist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-20 |
| 1225160591 | Alexandra Carter O'neal | Speech-Language Pathologist | 23 Mason St, Laurel, MS 39440-4437 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| 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 |
|---|---|---|---|---|
| 1790391431 | Amanda Lee-chun Steelman | Speech-Language Pathologist | 15950 Dorset Rd # 5313, Laurel, MD 20707-5313 | 2020-09-18 |
| 1609426980 | Rosalie J Bikoti | Speech-Language Pathologist | 9478 Canterbury Riding, Laurel, MD 20723-1412 | 2019-09-18 |
| 1992277784 | Rohini Honnappa | Speech-Language Pathologist | 11051 Birchtree Ln, Laurel, MD 20723-1086 | 2018-12-18 |
| 1982176723 | Sharone Lerner Cheskis | Speech-Language Pathologist | 13200 Larchdale Rd, Laurel, MD 20708-1744 | 2018-12-18 |
| 1831660133 | Myles B Nobles | Speech-Language Pathologist | 14140 W Side Blvd Apt 309, Laurel, MD 20707-6222 | 2018-12-12 |
| 1881165488 | Laurie Jean Moody | Speech-Language Pathologist | 9989 Winter Sun Rd, Laurel, MD 20723-5753 | 2018-12-09 |
| 1912476151 | Laura Amanda Mathews | Speech-Language Pathologist | 2118 Sandy Ln, Laurel, MS 39443-9087 | 2018-11-16 |
| 1457820078 | Rajinie Sigamoney Dixit | Speech-Language Pathologist | 9550 Gorman Rd, Laurel, MD 20723-5916 | 2018-11-14 |
| 1003394966 | Caleb Jon Wiegmann | Speech-Language Pathologist | 502 Wakefield St, Laurel, NE 68745-1743 | 2018-08-02 |
| 1023507779 | Kgk Speech Services | Speech-Language Pathologist | 3508 Cherry Blossom Xing, Laurel, MD 20724-1936 | 2018-05-08 |
| Find all providers in LAUREL | ||||
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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.