BIANCA JACKSON (NPI# 1114306016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114306016 |
| Entity Type | Individual |
| Full Name | BIANCA JACKSON |
| Practice Address |
1832 Stanocola Dr Baton Rouge LA 70807-3047 |
| Practice Telephone | 2256146773 |
| Mailing Telephone | 2256146773 |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790293264 | Bianca Michelle Jackson | Specialist/Technologist | 16507 Mahogany Dr, Missouri City, TX 77489-3918 | 2018-01-17 |
| 1891075636 | Bianca Jackson | Rehabilitation Practitioner | 2655 E Deer Springs Way Apt 2085, North Las Vegas, NV 89086-1466 | 2011-08-24 |
| 1255940771 | Bianca Jackson | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2020-07-30 |
| Street Address |
1832 STANOCOLA DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70807-3047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194384586 | Martha B Price | Nurse's Aide | 1950 Goudchaux St, Baton Rouge, LA 70807 | 2019-06-10 |
| 1083120026 | Germaine Nicole Baker | Counselor | 11824 Kingston Dr, Baton Rouge, LA 70807 | 2017-12-27 |
| 1962916197 | Sheila F. Lawson | Case Manager/Care Coordinator | 1955 Cunard Ave, Baton Rouge, LA 70807 | 2017-11-27 |
| 1730600776 | Sheeba Michelle King | Non-emergency Medical Transport (VAN) | 1529 Fairchild Street, Baton Rouge, LA 70807 | 2017-06-29 |
| 1073056818 | Sherlita Ann Varnado | Behavior Technician | 7801 Scenic Highway Apt. 1121, Baton Rouge, LA 70807 | 2016-11-28 |
| 1013469220 | Tonya Michelle Hill | Counselor | 1279 Rosenwald Road, Baton Rouge, LA 70807 | 2016-11-04 |
| 1093168536 | Anthony Wells Jr | Rehabilitation Practitioner | 2782 Thomas Rd, Baton Rouge, LA 70807 | 2016-07-20 |
| 1023468493 | Kasha Green | Case Manager/Care Coordinator | 2246 78th Ave, Baton Rouge, LA 70807 | 2016-06-16 |
| 1861852089 | Cheryl Morris | Counselor | 2867 Brig Gen Isaac Ave, Baton Rouge, LA 70807 | 2016-03-01 |
| 1871966762 | Monique Moses | Counselor | 2765 70th Ave, Baton Rouge, LA 70807 | 2015-11-02 |
| Find all providers in zip 70807 | ||||
| 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 |
|---|---|---|---|---|
| 1134733066 | Brittaney Renae Carson | Speech-Language Pathologist | 8245 Denbo Dr, Baton Rouge, LA 70806-7735 | 2020-09-08 |
| 1649889676 | Eric Smith | Speech-Language Pathologist | 11888 Longridge Ave Apt 1090, Baton Rouge, LA 70816-3904 | 2020-07-27 |
| 1245857622 | Zachary Hall | Speech-Language Pathologist | 17626 Lake Iris Ave, Baton Rouge, LA 70817-7568 | 2020-07-01 |
| 1386260289 | Evolve Wellness Centre, LLC | Speech-Language Pathologist | 9080 Greenwell St, Baton Rouge, LA 70812-2519 | 2020-06-17 |
| 1043870355 | Guidry & Associates of Louisiana, LLC | Speech-Language Pathologist | 10000 Celtic Dr, Baton Rouge, LA 70809-2501 | 2019-06-18 |
| 1477119469 | Brittany Elizabeth Philburn | Speech-Language Pathologist | 5930 Goodwood Ave, Baton Rouge, LA 70806-7307 | 2019-05-15 |
| 1578032066 | Michelle Wagner | Speech-Language Pathologist | 17732 Highland Rd Ste G254, Baton Rouge, LA 70810-3846 | 2018-11-14 |
| 1508346511 | Austin Nicole Rollins | Speech-Language Pathologist | 3423 Hundred Oaks Ave, Baton Rouge, LA 70808-1548 | 2018-08-19 |
| 1558841536 | Connie T Sawyer | Speech-Language Pathologist | 12307 Parkridge Ave, Baton Rouge, LA 70816-4726 | 2018-08-18 |
| 1073007365 | Ashleigh Seneca | Speech-Language Pathologist | 10848 Springtree Ave, Baton Rouge, LA 70810-7777 | 2018-06-19 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70807 |
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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.