MADELINE ELAINE JACKSON (NPI# 1992267009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992267009 |
| Entity Type | Individual |
| Full Name | MADELINE ELAINE JACKSON |
| Credential | CF-SLP |
| Practice Address |
2060 Otay Lakes Rd Ste 270 Chula Vista CA 91913-1364 |
| Mailing Address |
2820 Camino Del Rio S Ste 308 San Diego CA 92108-3824 |
| Practice Telephone | 6195450039 |
| Mailing Telephone | 6195460039 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 13403 | CA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2820 Camino Del Rio S Ste 308, San Diego, CA 921083824 | 6195460039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053925768 | Madeline Jackson | Case Manager/Care Coordinator | 830 N Summit St Ste 2, Toledo, OH 43604-1884 | 2020-09-01 |
| 1124547047 | Madeline Ruth Jackson | Speech-Language Pathologist | 1720 University Dr S, Fargo, ND 58103-4940 | 2017-09-12 |
| Street Address |
2060 OTAY LAKES RD STE 270 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91913-1364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636800 | Alex Batista | Speech-Language Pathologist | 2060 Otay Lakes Rd Ste 270, Chula Vista, CA 91913-1364 | 2020-07-08 |
| 1326670035 | Kiani Flores-lacangan | Occupational Therapist | 2060 Otay Lakes Rd Ste 270, Chula Vista, CA 91913-1364 | 2020-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774342 | Tiffany Sheffield | Physical Therapist | 1392 E Palomar Street, Suite 503, Chula Vista, CA 91913 | 2019-08-05 |
| 1710457379 | Jacqueline Rae Dagostino | Physical Therapist | 1392 E Palomar St Suite 503, Chula Vista, CA 91913 | 2018-11-27 |
| 1750806840 | Evette Pablo | Registered Nurse | 904 Saint Germain Road, Chula Vista, CA 91913 | 2017-08-09 |
| 1760912364 | Ferdinand San Jose | Registered Nurse | 1954 Marquis Court, Chula Vista, CA 91913 | 2017-06-15 |
| 1447640693 | Ian Christopher So Ignacio | Occupational Therapy Assistant | 1575 Golden Gate Ave, Chula Vista, CA 91913 | 2015-01-27 |
| 1396154274 | Helen Moreno | Dentist | 2009 Chardonnay Terrace, Chula Vista, CA 91913 | 2014-08-05 |
| 1801232236 | Edgar N Ibay | Military Health Care Provider | 1992 Caminito De La Cruz, Chula Vista, CA 91913 | 2013-05-13 |
| 1699093765 | Medical Logistics Management Inc. | Ambulance | 3130 Bonita Rd., Chula Vista, CA 91913 | 2010-05-13 |
| 1295066959 | Candice Aquino Claudio | Physical Therapist | 1400 E. Palomar, Chula Vista, CA 91913 | 2010-01-20 |
| 1417136128 | Alshafie Mohamed Hassan | Internal Medicine | 1400 East Palomar Street, Chula Vista, CA 91913 | 2007-10-30 |
| Find all providers in zip 91913 | ||||
| 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 |
|---|---|---|---|---|
| 1427669373 | Sarah Tah | Speech-Language Pathologist | 1415 Ridgeback Rd Ste 6, Chula Vista, CA 91910-6984 | 2020-08-13 |
| 1861020992 | Jessica Young Wang | Speech-Language Pathologist | 2160 Lago Madero, Chula Vista, CA 91914-2093 | 2020-04-01 |
| 1942851191 | Kennisakemi Furuya Bishop | Speech-Language Pathologist | 334 Plaza Toluca, Chula Vista, CA 91914-4405 | 2019-09-27 |
| 1073167144 | Wrela Johnston | Speech-Language Pathologist | 2827 Sutter Ridge Dr, Chula Vista, CA 91914-2645 | 2019-07-27 |
| 1245738491 | Maggie Stake | Speech-Language Pathologist | 2060 Otay Lakes Rd Unit 270, Chula Vista, CA 91913-1364 | 2018-01-23 |
| 1477090447 | Leaha Elrod | Speech-Language Pathologist | 2985 Stevenson Ranch Ct, Chula Vista, CA 91914 | 2017-01-27 |
| 1841748340 | Dianne Olayvar | Speech-Language Pathologist | 1160 Battle Creek Rd, Chula Vista, CA 91913-1664 | 2016-09-14 |
| 1962874578 | Raquel Madar | Speech-Language Pathologist | 861 Harold Pl #205 Chula Vista Ca 91914-4554, Chula Vista, CA 91914-4554 | 2015-10-22 |
| 1720474646 | Roseanne M Stevens | Speech-Language Pathologist | 450 Jamul Ct, Chula Vista, CA 91911-2505 | 2015-04-07 |
| 1356757215 | Evelyn Avalos | Speech-Language Pathologist | 713 Broadway Ste E, Chula Vista, CA 91910-5313 | 2014-07-10 |
| Find all providers in CHULA VISTA | ||||
| City | CHULA VISTA |
| Zip Code | 91913 |
Please comment or provide details below to improve the information on MADELINE ELAINE 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.