MRS. LAKEISHA JACKSON (NPI# 1962874099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962874099 |
| Entity Type | Individual |
| Full Name | MRS. LAKEISHA JACKSON |
| Practice Address |
205 Shaw Dr Acworth GA 30102-2075 |
| Practice Telephone | 6785232588 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2019-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP006166 | GA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003219302A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 404 King Springs Village Pkwy Se, Smyrna, GA 300824240 | 7704310816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396240172 | Lakeisha Nadine Jackson | Licensed Practical Nurse | 6597 Ethan Dr, Reynoldsburg, OH 43068-3962 | 2018-03-26 |
| 1356636120 | Lakeisha Renee Jackson | Social Worker | 1424 Estelle Dr, Oxon Hill, MD 20745-3438 | 2011-06-09 |
| Street Address |
205 SHAW DR |
| City | ACWORTH |
| State | GA |
| Zip Code | 30102-2075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972099737 | Speech Teachers of North Georgia LLC | Clinic/Center | 205 Shaw Dr, Acworth, GA 30102 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821563677 | Amanda Kristine Roberts | Specialist/Technologist | 1493 Highway 92, Acworth, GA 30102 | 2018-10-09 |
| 1265958391 | Hannah Pepper | Doula | 115 Bennett Farms Dr, Acworth, GA 30102 | 2017-08-21 |
| 1528594314 | Kendra Chantelle Krieg | Emergency Medicine | 185 Anniversary Ln, Acworth, GA 30102 | 2017-05-11 |
| 1215484860 | Jackson Family Therapy and Counseling | Community/Behavioral Health | 2117 Hamby Cove Dr, Nw, Acworth, GA 30102 | 2016-09-01 |
| 1295089134 | The Hopequest Ministry Group, Inc. | Substance Abuse Rehabilitation Facility | 5345 Crossroads Drive, Acworth, GA 30102 | 2012-10-30 |
| 1851609887 | Health Cord of Georgia Inc | Emergency Medical Technician, Basic | 5345 Bells Ferry Rd, Acworth, GA 30102 | 2010-09-24 |
| 1073842928 | Susan Rachel Layton | Clinical Nurse Specialist | 519 Olympic Way, Acworth, GA 30102 | 2009-12-23 |
| 1073779971 | Karen Casadaban | Speech-Language Pathologist | 4957 Day Lily Way, Acworth, GA 30102 | 2008-07-31 |
| 1538205109 | Alan Stuart Horlick | Dentist | 6572 Highway 92, Suite 120, Acworth, GA 30102 | 2007-01-30 |
| 1982620472 | Samuel Arthur Mielcarski | Physical Therapist | 5505 Bells Ferry Rd, Suite 240, Acworth, GA 30102 | 2006-07-15 |
| Find all providers in zip 30102 | ||||
| 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 |
|---|---|---|---|---|
| 1649758152 | Melanie Blackwood Gilley | Speech-Language Pathologist | 143 Plantation Ln, Acworth, GA 30101-4746 | 2018-08-06 |
| 1518460088 | Lisa C. Berger | Speech-Language Pathologist | 4350 Robinson St, Acworth, GA 30101-5441 | 2018-03-12 |
| 1366862534 | Laura Mcpherson | Speech-Language Pathologist | 3950 Cobb Pkwy Nw Ste 801, Acworth, GA 30101-9524 | 2014-04-25 |
| 1720416324 | Kristi Renee Evans | Speech-Language Pathologist | 5521 Hedge Brooke Dr Nw, Acworth, GA 30101-7139 | 2013-10-17 |
| 1659659878 | Diana Patrice Burns-mayfield | Speech-Language Pathologist | 4035 Baywind Walk Nw, Acworth, GA 30101-7610 | 2011-07-22 |
| 1619296886 | Jaclyn Yevonne Dorsey | Speech-Language Pathologist | 334 Graves Rd, Acworth, GA 30101-6172 | 2010-05-26 |
| 1538315874 | Speech Breakthrough, LLC | Speech-Language Pathologist | 157 Windcroft Ln Nw, Acworth, GA 30101-3767 | 2008-08-18 |
| 1073779971 | Karen Casadaban | Speech-Language Pathologist | 4957 Day Lily Way, Acworth, GA 30102 | 2008-07-31 |
| 1013196435 | Caren Malin Doleys | Speech-Language Pathologist | 1120 Regiment Drive Nw, Let's Start Communicating, L.L.C., Acworth, GA 30101-8462 | 2007-11-01 |
| 1871656033 | Laura A Mcgowen | Speech-Language Pathologist | 1471 Grist Mill Dr, Acworth, GA 30101-8623 | 2006-12-19 |
| Find all providers in ACWORTH | ||||
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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.