MRS. TIFFANY JACKSON (NPI# 1942489034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942489034 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY JACKSON |
| Credential | M.ED., CCC/SLP |
| Practice Address |
100 Monie Ln Raleigh NC 27601-1560 |
| Practice Telephone | 9198211822 |
| Practice Fax Number | 9198217779 |
| Mailing Telephone | 9198211822 |
| Mailing Fax Number | 9198217779 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2009-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 5174 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7411661 | 05 | |
| NC | BCBS | 130AT | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432875 | Tiffany Jackson | Technician | 712 N Jenison Ave, Lansing, MI 48915-1309 | 2020-03-23 |
| 1336781335 | Tiffany Lashun Jackson | Contractor | 1718 Northside Dr Apt O3, Valdosta, GA 31602-1558 | 2019-10-10 |
| 1073161642 | Tiffany Michelle Jackson | Registered Nurse | 4982 Peppers Ferry Rd, Wytheville, VA 24382-4966 | 2019-08-27 |
| 1245892694 | Tiffany Nicole Jackson | Counselor | 6292 Dyke Rd, Chittenango, NY 13037-9404 | 2019-07-06 |
| 1851875116 | Tiffany Andrea Jackson | Case Manager/Care Coordinator | 1095 Golden Lakes Blvd Apt 913, West Palm Beach, FL 33411-3353 | 2018-09-21 |
| 1992046734 | Tiffany Jackson | Licensed Practical Nurse | 4746 Walford Rd Apt 2, Warrensville Heights, OH 44128-5151 | 2013-03-04 |
| 1871801399 | Tiffany Jan'nelle Jackson | Dentist | 2550 Windmill Ln Ste 145, Henderson, NV 89074-5500 | 2010-09-17 |
| 1619289212 | Tiffany C. Jackson | Massage Therapist | 904 S Main St, Pleasant Grove, UT 84062-3560 | 2010-07-12 |
| 1851613251 | Tiffany Renee Jackson | Contractor | 5533 Litchfield St, Philadelphia, PA 19143-4714 | 2010-02-25 |
| 1942491063 | Tiffany R Jackson | Obstetrics & Gynecology | 7217 Telecom Parkway, Suite 290, Garland, TX 75044 | 2007-08-05 |
| Street Address |
100 MONIE LN |
| City | RALEIGH |
| State | NC |
| Zip Code | 27601-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548214125 | Speech Masters Therapy Services | Speech-Language Pathologist | 100 Monie Ln, Raleigh, NC 27601-1560 | 2006-05-19 |
| 1760643134 | Steven Jackson I | Speech-Language Pathologist | 100 Monie Ln, Raleigh, NC 27601-1560 | 2008-06-19 |
| 1053586909 | Julia R Mortimer-brown | Speech-Language Pathologist | 100 Monie Ln, Raleigh, NC 27601-1560 | 2008-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174123061 | Sarah C Blankenship | Behavior Technician | 421 Fayette Street Suite 1100, Raleigh, NC 27601 | 2020-10-29 |
| 1700428513 | Amanda Sue Abner | Behavior Technician | 421 Fayetteville St. Suite 1100, Raleigh, NC 27601 | 2019-10-14 |
| 1720632680 | Courtney R Dickerson | Behavior Technician | 421 Fayettville St. Suite 1100, Raleigh, NC 27601 | 2019-07-30 |
| 1023533205 | Carolina Sport & Spine Physical Therapy, Inc. | Clinic/Center | 555 Fayetteville St Ste 201, Raleigh, NC 27601 | 2017-08-08 |
| 1902346067 | Nc Community Care Services Inc | Day Training, Developmentally Disabled Services | 555 Fayetteville Street, Ste. 201, Raleigh, NC 27601 | 2017-03-08 |
| 1649712399 | Sleep Health and Wellness Center, Pllc | Sleep Specialist, PhD | 555 S Wilmington St, Suite 201, Raleigh, NC 27601 | 2016-11-12 |
| 1093267817 | Kristen Ashley Eubanks | Behavior Technician | 421 Fayetteville Street Suite 1100, Raleigh, NC 27601 | 2016-10-27 |
| 1205281631 | Kayla Christian Hart | Developmental Therapist | 421 Fayetteville Street, Suite 1100, Raleigh, NC 27601 | 2016-05-04 |
| 1457759003 | Vanessa Lech | Social Worker | 555 Fayetteville St, Suite 201, Raleigh, NC 27601 | 2014-12-15 |
| 1649513177 | Manual Medicine Physical Therapy | Clinic/Center | 300 W. Hargett St., Apt. 307, Raleigh, NC 27601 | 2013-04-03 |
| Find all providers in zip 27601 | ||||
| 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 |
|---|---|---|---|---|
| 1568069508 | Roots and Wings Speech and Language Services, Pllc | Speech-Language Pathologist | 2005 Lodestar Dr, Raleigh, NC 27615-2520 | 2020-10-02 |
| 1073136321 | Blue Circle Services Inc | Speech-Language Pathologist | 7321 Sweet Bay Ln, Raleigh, NC 27615-6225 | 2020-05-21 |
| 1598388084 | Megan Therese Nardo | Speech-Language Pathologist | 3803b Computer Dr Ste 200, Raleigh, NC 27609-6503 | 2020-05-19 |
| 1689295438 | Bright Talkers Speech and Language Therapy Pllc | Speech-Language Pathologist | 6900 Crescent Moon Ct Apt 205, Raleigh, NC 27606-4282 | 2020-05-04 |
| 1265079610 | Katherine S Pretzer | Speech-Language Pathologist | 801 Lakestone Dr, Raleigh, NC 27609-6343 | 2019-12-04 |
| 1083262273 | Bethany Lea Pergerson | Speech-Language Pathologist | 816 Brighton Rd, Raleigh, NC 27610-1610 | 2019-08-30 |
| 1124581723 | Haley Jane Reconnu | Speech-Language Pathologist | 1301 Wake Forest Rd, Raleigh, NC 27604-1393 | 2019-04-10 |
| 1982176749 | Christine Mary Murray | Speech-Language Pathologist | 4301 Lake Boone Trl Ste 200, Raleigh, NC 27607-7507 | 2018-12-18 |
| 1326538463 | Kimberly Jean Brown | Speech-Language Pathologist | 6405 Deerview Dr, Raleigh, NC 27606-8801 | 2018-05-15 |
| 1629565791 | Haley Gilroy | Speech-Language Pathologist | 4030 Cardinal At North Hills St, Raleigh, NC 27609-2616 | 2018-04-15 |
| Find all providers in RALEIGH | ||||
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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.