JACLYN WEISS (NPI# 1174777171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174777171 |
| Entity Type | Individual |
| Full Name | JACLYN WEISS |
| Practice Address |
6709 Kaci Ln Fort Mill SC 29707-3201 |
| Practice Telephone | 8035480369 |
| Mailing Telephone | 8035480369 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 016317-1 | NY | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 7860 | NC | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 4366 | SC | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388678 | Jaclyn Blair Weiss | Student in an Organized Health Care Education/Training Program | 1127 N Oakley Blvd Fl 3, Chicago, IL 60622-3507 | 2020-08-28 |
| 1972939445 | Jaclyn A Weiss | Marriage & Family Therapist | 2475 University Ave, Suite A, Green Bay, WI 54302-5099 | 2013-09-17 |
| 1144572868 | Jaclyn Weiss | Physician Assistant | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2012-10-04 |
| 1255682993 | Jaclyn Weiss | Speech-Language Pathologist | 1605 Forest Ave, Staten Island, NY 10302-2229 | 2012-09-20 |
| Street Address |
6709 KACI LN |
| City | FORT MILL |
| State | SC |
| Zip Code | 29707-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535844 | Anomaly Bodywork & Wellness Center, LLC | Massage Therapist | 4068 Flats Main Street, Apt 100, Indian Land, SC 29707 | 2020-10-15 |
| 1164034369 | Renu Kapoor Virdi | Dentist | 9709 Redstone Dr, Ste 500, Indian Land, SC 29707 | 2020-08-19 |
| 1205467420 | Brian Keith Sutton | Physical Therapist | 2021 Bridgemill Dr, Ste 106, Indian Land, SC 29707 | 2020-01-27 |
| 1215575774 | Doby's Bridge Dentistry | Dentist | 4174 Dobys Brige Road Ste 100, Indian Land, SC 29707 | 2019-12-16 |
| 1346895141 | Redstone Modern Dentistry, PC | Dentist | 9709 Redstone Dr., Suite 500, Indian Land, SC 29707 | 2019-08-08 |
| 1396228698 | Daniel Allen | Massage Therapist | 4068 Flats Main St, Apt 100, Indian Land, SC 29707 | 2018-09-12 |
| 1598269409 | Dawn K Beatty-batten | Occupational Therapy Assistant | The Blake At Edgewater, 1099 Edgewater Corporate Parkway, Indian Land, SC 29707 | 2018-03-23 |
| 1366940959 | Kds Consultants, LLC | Family Medicine | 8351 Charlotte Hwy Ste 200, Indian Land, SC 29707 | 2018-01-29 |
| 1093227464 | Ivision Associates LLC | Optometrist | 9700 Red Stone Drive Suite 300, Indian Land, SC 29707 | 2017-10-25 |
| 1396274742 | Carson Tyler Mcginn | Specialist/Technologist | 8690 Henry Harris Rd., Fort Mill, SC 29707 | 2017-06-08 |
| Find all providers in zip 29707 | ||||
| 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 |
|---|---|---|---|---|
| 1992306153 | Samantha Shaddix | Speech-Language Pathologist | 2848 Pleasant Rd Ste 1012848, Fort Mill, SC 29708-9490 | 2020-11-04 |
| 1942835996 | Emily Chambers | Speech-Language Pathologist | 1055 Warpers Ln, Fort Mill, SC 29715-2080 | 2020-03-10 |
| 1770122343 | Kristen Miller | Speech-Language Pathologist | 1708 Catherine Lothie Way, Fort Mill, SC 29708-8909 | 2019-12-31 |
| 1063063006 | Melissa Maxwell | Speech-Language Pathologist | 1503 Josie Ln Apt 405, Fort Mill, SC 29708-0220 | 2019-09-20 |
| 1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
| 1720521339 | Susan Breiding | Speech-Language Pathologist | 11181 Scullers Run, Fort Mill, SC 29708-9370 | 2016-11-30 |
| 1710338074 | Judy Clare Speicher | Speech-Language Pathologist | 7917 Fawnwood Ln, Fort Mill, SC 29708-8221 | 2016-06-28 |
| 1689063737 | Elisabeth Voss | Speech-Language Pathologist | 315 Montmorenci Xing, Fort Mill, SC 29715-7836 | 2015-01-13 |
| 1619374220 | Rebecca Rowe | Speech-Language Pathologist | 8835 Gladden Hill Ln, Fort Mill, SC 29715 | 2014-11-25 |
| 1902209836 | Kimberly Michelle Schifano | Speech-Language Pathologist | 1436 Kilburn Ln, Fort Mill, SC 29715-0016 | 2014-10-06 |
| Find all providers in FORT MILL | ||||
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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.