CRYSTAL JACKSON (NPI# 1265081384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265081384 |
| Entity Type | Individual |
| Full Name | CRYSTAL JACKSON |
| Practice Address |
2426 Cairns Mill Ct Charlotte NC 28269-4083 |
| Practice Telephone | 9109737620 |
| Mailing Telephone | 9109737620 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
0545 | NC | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1598140725 | Crystal Jackson | Licensed Practical Nurse | 1585 Holloway Ray Rd, Mc Intyre, GA 31054-2469 | 2015-07-29 |
| 1336560861 | Crystal Jackson | Counselor | 579 Pimlico Cir, Whitsett, NC 27377-8713 | 2013-12-31 |
| 1215288865 | Crystal Jackson | Rehabilitation Practitioner | 1018 Mosskag Ct, North Las Vegas, NV 89032-7696 | 2012-09-23 |
| 1083879837 | Crystal B Jackson | Specialist | 700 Southlake Cir, Youngsville, LA 70592-5671 | 2008-07-22 |
| 1255595948 | Crystal A. Jackson | Psychologist | 3011 W Grand Blvd Ste 413, Detroit, MI 48202-3011 | 2008-07-11 |
| 1659986586 | Crystal E Jackson | Behavior Technician | 6622 N Maroa Ave, Fresno, CA 93704-1209 | 2020-09-08 |
| 1093349367 | Crystal Jackson | Counselor | 422 E Lamar Blvd Ste 108, Arlington, TX 76011-3604 | 2020-02-26 |
| 1437796919 | Crystal Rena Jackson | Counselor | 8220 Castor Ave, Philadelphia, PA 19152-2729 | 2019-12-04 |
| 1255981130 | Crystal L Jackson | Case Manager/Care Coordinator | 1290 Chambers Rd, Aurora, CO 80011-7117 | 2019-09-12 |
| Street Address |
2426 CAIRNS MILL CT |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28269-4083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124664438 | Alluring Occupational Therapy Services, Pllc | Occupational Therapy Assistant | 3020-i Prosperity Church Rd, Ste 523, Charlotte, NC 28269 | 2019-11-21 |
| 1366085094 | Crystal R Currie | Counselor | 8824 Cliff Cameron Drive, Uint 107, Charlotte, NC 28269 | 2019-10-25 |
| 1477102879 | Apryl N. Davis | Occupational Therapy Assistant | 3020-i Prosperity Church Rd., Charlotte, NC 28269 | 2019-09-09 |
| 1730744202 | Christopher Paige | Driver | 9805 Statesville Rd., Suite 6198, Charlotte, NC 28269 | 2019-05-09 |
| 1619532892 | Krb Support Services | Prevention Professional | 11634 Oak Street, Charlotte, NC 28269 | 2019-05-03 |
| 1184186769 | Kimberly M Lynch | Local Education Agency (LEA) | 11634 Oat Street, Charlotte, NC 28269 | 2019-04-03 |
| 1356802318 | Arleen M Blythe | Physical Therapy Assistant | 1521 Bucklebury Ct, Charlotte, NC 28269 | 2019-03-30 |
| 1174089064 | Quality Behavioral Health Services, Pllc | Social Worker | 9805 Statesville Rd, # 6095, Charlotte, NC 28269 | 2019-02-15 |
| 1326517855 | Mary Frances Pickens-wilson | Behavior Technician | 4628 Quinton Lane, Charlotte, NC 28269 | 2018-11-14 |
| 1548746605 | Tiffany Michelle Graham | Counselor | 9823 Cooper Run Ln, Charlotte, NC 28269 | 2018-07-12 |
| Find all providers in zip 28269 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861042491 | Seida Campos | Specialist/Technologist | 1324 Ranch Rd, Charlotte, NC 28208-1737 | 2019-09-16 |
| 1033773197 | Giselle E Zayas | Specialist/Technologist | 8848 Red Oak Blvd Ste Ste-aa, Charlotte, NC 28217-4053 | 2019-04-24 |
| 1063904035 | Ruthmar Jones | Specialist/Technologist | 8848 Red Oak Blvd Ste Aa, Charlotte, NC 28217-5595 | 2018-06-05 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1407291701 | Rebecca Sue Turbeville | Specialist/Technologist | 200 Humphries St, Charlotte, TN 37036-4902 | 2013-05-01 |
| 1114581279 | Gerardo Ocasio | Specialist/Technologist | 8848 Red Oak Blvd Ste Aa, Charlotte, NC 28217-5595 | 2019-04-24 |
| 1578056594 | Kimberly Michelle Logan | Specialist/Technologist | 8848 Red Oak Blvd Ste Aa, Charlotte, NC 28217-5595 | 2018-06-13 |
| 1497248421 | Christina Kajsiab Chang | Specialist/Technologist | 8848 Red Oak Blvd Ste Aa, Charlotte, NC 28217-5595 | 2018-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959714 | Amity Speech Therapy, Pllc | Specialist/Technologist | 1030 Flats Ave Apt 302, Mebane, NC 27302-9966 | 2020-07-10 |
| 1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
| 1487113023 | Surya Streater | Specialist/Technologist | 529 Montgrove Pl Nw, Concord, NC 28027-6554 | 2019-03-13 |
| 1598278194 | Autumn Nobles | Specialist/Technologist | 10193 Falling Leaf Dr Nw, Concord, NC 28027 | 2017-11-06 |
| 1902351067 | Danielle Newcombe | Specialist/Technologist | 3530 Boone Trl, Fayetteville, NC 28306-2189 | 2016-08-18 |
| 1427455153 | Village Rehabilitation and Consulting Clinic, LLC | Specialist/Technologist | 5420 Covington Cross Dr, Knightdale, NC 27545-7601 | 2014-11-24 |
| 1659795615 | Antonio Banner | Specialist/Technologist | 505 Country Club Cir, Lexington, NC 27292-5465 | 2014-02-12 |
| 1306287511 | Stephanie Rush | Specialist/Technologist | 12133 Flatbush Dr, Huntersville, NC 28078-6323 | 2013-07-16 |
| 1487805008 | Kathryn Lynne Sounier | Specialist/Technologist | 6253 Bristol Dr, Fayetteville, NC 28314-2078 | 2008-10-01 |
| 1467625061 | Marcie Kelly | Specialist/Technologist | 1189 Kader Merritt Road, Rose Hill, NC 28458 | 2008-04-04 |
| Find all providers with the same taxonomy | ||||
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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.