GLENDA JACKSON (NPI# 1104399823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104399823 |
| Entity Type | Individual |
| Full Name | GLENDA JACKSON |
| Practice Address |
2100 Cedar Dr Edgewood MD 21040-2502 |
| Practice Telephone | 4106121540 |
| Mailing Telephone | 4106121540 |
| Mailing Fax Number | 4106122013 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 0517 | MD | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 12-7491 | MD | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053619510 | Glenda Marie Jackson | Licensed Vocational Nurse | 5357 Port Sailwood Dr, Newark, CA 94560-2674 | 2011-03-08 |
| 1205291572 | Glenda Elizabeth Jackson | Registered Nurse | 4126 N 16th St, Milwaukee, WI 53209-6915 | 2015-12-30 |
| 1437360716 | Glenda S Jackson | Registered Nurse | 1701 Hardee Ave, Fort Mcpherson, GA 30330 | 2007-05-25 |
| 1134208119 | Glenda L Jackson | Pediatrics | 117 W Liberty Street, Rome, NY 13440 | 2006-11-02 |
| Street Address |
2100 CEDAR DR |
| City | EDGEWOOD |
| State | MD |
| Zip Code | 21040-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396978417 | Harford County Health Department | Clinic/Center | 2100 Cedar Dr, Edgewood, MD 21040-2502 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028458 | Alycia Covelly | Counselor | 2415 Willoughby Beach Rd, Edgewood, MD 21040 | 2018-06-29 |
| 1558885491 | Kenneth J Heil Jr. | Physical Therapist | 1401f Pulaski Highway, Edgewood, MD 21040 | 2017-08-02 |
| 1952845810 | Caroline Njane | Registered Nurse | 835 Clover Leaf Ct, Edgewood, MD 21040 | 2016-12-12 |
| 1003368945 | Rts Edgewood | Clinic/Center | 2205 Pulaski Hwy, Edgewood, MD 21040 | 2016-10-26 |
| 1194133033 | Dante Winter | Pharmacist | 1301 Woodbridge Center Way, Edgewood, MD 21040 | 2014-07-23 |
| 1841469723 | Rafiq Patel M D P A | General Practice | 1952 Pulaski Highway, Edgewood, MD 21040 | 2008-02-26 |
| 1871793877 | Nichols Shelter Home for Elderly | Health Maintenance Organization | 1111 Hanson Rd., Edgewood, MD 21040 | 2007-07-19 |
| 1467505362 | William N Bernhard | Preventive Medicine | 2624 Fairview Pt Rd. Bldg E 6814, Aviation Medicine Clinic, Edgewood (apg), MD 21040 | 2007-01-22 |
| 1417006503 | Phoenix Recovery Center Inc | Clinic/Center | 107 Edgewood Rd, Edgewood, MD 21040 | 2007-01-09 |
| 1093886848 | Fernando Jose Narava | Dentist | 9690 Deereco, Suite 120, Timonium, MD 21040 | 2006-11-13 |
| Find all providers in zip 21040 | ||||
| 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 |
|---|---|---|---|---|
| 1619446333 | Lori Mildre Zavoyna | Speech-Language Pathologist | 2307 Willoughby Beach Rd, Edgewood, MD 21040-3419 | 2018-11-26 |
| 1063841682 | Susan Mollman | Speech-Language Pathologist | 410 Shannon Dr, Edgewood, KY 41017-3353 | 2013-11-04 |
| 1710218268 | Julie R Hermes | Speech-Language Pathologist | 50 Edgewood Rd, Edgewood, KY 41017-2326 | 2010-01-22 |
| 1366630121 | Jeana Spindle | Speech-Language Pathologist | 27 Camino Estribor, Edgewood, NM 87015 | 2007-10-05 |
| 1346454261 | Lauren Elizabeth Dressman | Speech-Language Pathologist | 3113 Balsam Ct, Edgewood, KY 41017-3334 | 2007-05-09 |
| 1861613937 | Charlotte Marie Broeg | Speech-Language Pathologist | 61 Beech Dr, Edgewood, KY 41017-2302 | 2007-05-02 |
| 1609346824 | Emily Boyd | Speech-Language Pathologist | 2311 Willoughby Beach Rd, Edgewood, MD 21040-3419 | 2018-11-30 |
| 1770090342 | Dynamic Speech, LLC | Speech-Language Pathologist | 3113 Balsam Ct, Edgewood, KY 41017-3334 | 2018-01-04 |
| 1124568035 | Eva Mae Blakely | Speech-Language Pathologist | 1090 Mountain Valley Rd, Edgewood, NM 87015-8044 | 2017-02-27 |
| 1235519091 | Jessica Besteman | Speech-Language Pathologist | 1090 Mountain Valley Rd, Edgewood, NM 87015-8044 | 2015-06-05 |
| Find all providers in EDGEWOOD | ||||
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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.