MS. STACI LYNN JACKSON (NPI# 1154508406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154508406 |
| Entity Type | Individual |
| Full Name | MS. STACI LYNN JACKSON |
| Credential | OTR/L |
| Practice Address |
2386 Clower St Bld E, Ste 102 Snellville GA 30078-6134 |
| Practice Telephone | 7709859050 |
| Practice Fax Number | 7709859223 |
| Mailing Telephone | 7709859050 |
| Mailing Fax Number | 7709859223 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT003559 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316172778 | Staci Tate Jackson | Speech-Language Pathologist | 4917 Southwin Dr, Winston Salem, NC 27104-4634 | 2009-05-28 |
| 1003329160 | Staci Nicole Jackson | Counselor | 11616 Southfork Ave, Baton Rouge, LA 70816-5241 | 2017-11-13 |
| Street Address |
2386 CLOWER ST BLD E, STE 102 |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-6134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144321175 | Alan F Mcewen | Chiropractor | 2386 Clower St, Suite G102, Snellville, GA 30078-6134 | 2006-09-25 |
| 1831513365 | Le Concierge Home Care Solutions | Home Health | 2386 Clower St, Suite 101, Snellville, GA 30078-6134 | 2014-02-04 |
| 1053734806 | Le Concierge Home Care Solutions | Home Health | 2386 Clower St, Suite 101, Snellville, GA 30078-6134 | 2014-01-30 |
| 1245528835 | Catherine Adams | Counselor | 2386 Clower St, C-211, Snellville, GA 30078-6134 | 2011-07-16 |
| 1215260666 | Clark Counseling & Consulting, Inc. | Counselor | 2386 Clower St, Building C, Suite 100, Snellville, GA 30078-6134 | 2009-09-16 |
| 1679715627 | Alternative Home Care for Seniors | Home Health | 2386 Clower St, Snellville, GA 30078-6134 | 2009-04-06 |
| 1154563286 | Sovereign Personal Services | In Home Supportive Care | 2386 Clower St, Bldg D, Suite 100d, Snellville, GA 30078-6134 | 2009-04-06 |
| 1336398742 | Sunrise Counseling, Inc. | Community/Behavioral Health | 2386 Clower St, Bldg C, Suite 100, Snellville, GA 30078-6134 | 2008-09-10 |
| 1043497084 | Mcewen Chiropractic Center, Inc. | Chiropractor | 2386 Clower St, Suite G/102, Snellville, GA 30078-6134 | 2008-01-22 |
| 1114149713 | Christine Evette Giles | Speech-Language Pathologist | 2386 Clower St, Building E Suite 102, Snellville, GA 30078-6134 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982224283 | Brittany Danielle Lawrence | Occupational Therapist | 3007 Parkside Ct, Snellville, GA 30078-3600 | 2020-04-16 |
| 1144786955 | Kelsey Elizabeth Humbers | Occupational Therapist | 2346 Wisteria Dr Ste 220, Snellville, GA 30078-6174 | 2019-02-17 |
| 1790200756 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 3641 Centerville Hwy Ste 400, Snellville, GA 30039-6407 | 2017-08-10 |
| 1700260056 | Karen Macnamee | Occupational Therapist | 1920 Rockside Ln, Snellville, GA 30078-6418 | 2015-07-16 |
| 1073918074 | Beverly James | Occupational Therapist | 3835 Laurel Brook Way, Snellville, GA 30039-6489 | 2014-11-03 |
| 1023426715 | Connie Johnson- Lofton | Occupational Therapist | 2986 Cadbury Ct, Snellville, GA 30039-7029 | 2014-07-26 |
| 1326483736 | Surmonte Inc. | Occupational Therapist | 4590 Gin Plantation Dr, Snellville, GA 30039-8705 | 2013-04-30 |
| 1265783641 | Stephanie Knight | Occupational Therapist | 4176 Preserve Trl, Snellville, GA 30039-3306 | 2012-09-26 |
| 1790076230 | Body of Health and Life, LLC | Occupational Therapist | 2321 Henry Clower Blvd, Ste A, Snellville, GA 30078-7419 | 2011-05-02 |
| 1093013906 | Kimberly Ann Mainer | Occupational Therapist | 2321 Henry Clower Blvd Ste A, Snellville, GA 30078-7419 | 2011-03-02 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on MS. STACI LYNN 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.