JOANNE MARIE JACKSON (NPI# 1891835013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891835013 |
| Entity Type | Individual |
| Full Name | JOANNE MARIE JACKSON |
| Credential | SLP |
| Practice Address |
12800 Copper Ave Ne Apache Es Albuquerque NM 87123-1647 |
| Practice Telephone | 5052927735 |
| Mailing Telephone | 5052927735 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 1476 | NM | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | K 9497 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124219605 | Joanne Jackson | Technician | 412 S Chaney Ave, Brinkley, AR 72021 | 2007-08-08 |
| 1871711291 | Joanne Jackson | Psychologist | 104 Grand St, Croton On Hudson, NY 10520-2305 | 2007-04-23 |
| 1992750632 | Joanne V Jackson | Pediatrics | 595 Hurrincane Shoals Road Nw, Suite 300, Lawrenceville, GA 30046 | 2006-05-23 |
| 1871144188 | Joanne Jackson | Licensed Practical Nurse | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2019-09-27 |
| 1417074675 | Joanne Kelly Jackson | Counselor | 205 Se 3rd Ave, Hillsboro, OR 97123-4093 | 2007-03-23 |
| 1013099795 | Joanne Jackson | Nurse Practitioner | 3300 Main St, 2nd Floor, Suite A, Springfield, MA 01107-1112 | 2006-10-20 |
| Street Address |
12800 COPPER AVE NE APACHE ES |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87123-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295348902 | Brittany Weist | Speech-Language Pathologist | 12800 Copper Ave Ne, Albuquerque, NM 87123-1647 | 2020-08-24 |
| 1639724214 | Deva Vincent | Registered Nurse | 12800 Copper Ave Ne, Albuquerque, NM 87123-1647 | 2019-08-09 |
| 1003947573 | Ingrid Wellman | Speech-Language Pathologist | 12800 Copper Ave Ne, Apache Es, Albuquerque, NM 87123-1647 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360291 | Frances J. Dewent | Technician | 504 Aragon St Se, Albuquerque, NM 87123 | 2020-09-09 |
| 1275042293 | Amanda Valdez-androlewicz | Nurse Practitioner | 1117 Monte Largo Dr Ne, Albuquerque, NM 87123 | 2017-09-21 |
| 1740708809 | 11.11, LLC | Case Manager/Care Coordinator | 11724 Copper Pl Ne, Albuquerque, NM 87123 | 2017-09-08 |
| 1710375365 | Diane Crouse | Occupational Therapist | 820 Monte Alto Dr Ne, Albuquerque, NM 87123 | 2015-01-06 |
| 1346640760 | Christopher Trout | Physical Therapist | 11419 Deer Lodge Rd Se, Albuquerque, NM 87123 | 2014-09-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1467709006 | Tomas Maestas | Emergency Medical Technician, Paramedic | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87123 | 2012-08-14 |
| 1831476951 | Shellie Nicole Field | Pharmacist | 1515 Eubank Se, Bldg 831 Rm 143, Albuquerque, NM 87123 | 2011-11-03 |
| 1023325768 | Moss Trompeter | Pharmacist | 1931 Cam Fella St Se, Albuquerque, NM 87123 | 2010-09-01 |
| 1114239522 | Miguel A. Perez Abreu | Preventive Medicine | 600 Wyoming Blvd Ne, Albuquerque, NM 87123 | 2010-07-14 |
| Find all providers in zip 87123 | ||||
| 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 |
|---|---|---|---|---|
| 1881291987 | Jennifer Tassaro | Speech-Language Pathologist | 3315 Louisiana Blvd Ne, Albuquerque, NM 87110-2165 | 2020-10-02 |
| 1205443470 | Lauren Salm | Speech-Language Pathologist | 7215 Montgomery Blvd Ne, Albuquerque, NM 87109-1508 | 2020-09-30 |
| 1972113660 | Jenna Marie Gomez | Speech-Language Pathologist | 620 Lomas Blvd Nw # 2080, Albuquerque, NM 87102-2080 | 2020-08-06 |
| 1912526310 | Madeleine O'neill | Speech-Language Pathologist | 614 Lafayette Dr Ne, Albuquerque, NM 87106-2144 | 2020-04-15 |
| 1083245427 | Jacquelyn Garcia | Speech-Language Pathologist | 1127 Univ Blvd Ne, Albuquerque, NM 87102-1740 | 2020-02-03 |
| 1346882842 | Amy Taylor Neel | Speech-Language Pathologist | Msc01 1195 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-10-16 |
| 1770141590 | Valentina Hardison | Speech-Language Pathologist | 5924 Anaheim Ave Ne Ste B, Albuquerque, NM 87113-1879 | 2019-06-05 |
| 1629530506 | Hyuna Kim | Speech-Language Pathologist | 1839 Kelso Ct Se, Albuquerque, NM 87123-2291 | 2019-04-01 |
| 1588135586 | Holly E Stewart | Speech-Language Pathologist | 10321 Oakland Ave Ne, Albuquerque, NM 87122-3931 | 2018-12-17 |
| 1376038588 | Maja Erika Whitaker | Speech-Language Pathologist | 9600 Peralta Rd Ne, Albuquerque, NM 87109-6360 | 2018-06-29 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87123 |
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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.