HEATHER JACKSON (NPI# 1275014714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275014714 |
| Entity Type | Individual |
| Full Name | HEATHER JACKSON |
| Credential | MS, CCC-SLP |
| Practice Address |
4460 Celebration Blvd Acworth GA 30101-1105 |
| Mailing Address |
Po Box 2815 Cartersville GA 30120-1697 |
| Practice Telephone | 7703242863 |
| Mailing Telephone | 7703242863 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP006307 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260545 | Heather Jackson | Registered Nurse | 2503 Beneva Rd Unit 8, Sarasota, FL 34232-3602 | 2020-06-23 |
| 1083266126 | Heather Jackson | Optometrist | 2070 Eagle Creek Ln Ste 200, Woodbury, MN 55129-3217 | 2019-07-09 |
| 1487194445 | Heather Jackson | Physical Therapist | 9263 Osborn Rd, Arlington, TN 38002-5922 | 2017-02-24 |
| 1255878203 | Heather Jackson | Nurse's Aide | 1103 Knoxville Hwy, Wartburg, TN 37887 | 2017-01-30 |
| 1053768176 | Heather Jackson | Counselor | 256 Carson Oaks Ln, Santa Rosa Beach, FL 32459-7149 | 2016-05-18 |
| 1851775761 | Heather Jackson | Speech-Language Pathologist | 3780 N Garfield Ave Ste 102, Loveland, CO 80538-2237 | 2015-07-10 |
| 1255734828 | Heather Jackson | Licensed Practical Nurse | 23953 Prairie Rd, Sedro Woolley, WA 98284-8598 | 2014-09-26 |
| 1649602905 | Heather Elizabeth Jackson | Nurse Practitioner | 6286 Pepper Hill St, West Bloomfield, MI 48322-2301 | 2013-08-08 |
| 1710933981 | Heather C. Jackson | Occupational Therapist | 974 E Main St, Mayo, FL 32066-5631 | 2006-05-26 |
| 1669090049 | Heather Lee Jackson | Advanced Practice Midwife | 2022 Kelle Dr, Chesterton, IN 46304-8708 | 2020-07-11 |
| Street Address |
4460 CELEBRATION BLVD |
| City | ACWORTH |
| State | GA |
| Zip Code | 30101-1105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346657897 | Arielle Mote | Physical Therapist | 4460 Celebration Blvd, Acworth, GA 30101-1105 | 2014-07-16 |
| 1033732177 | Rosaline Elizabeth Cason | Occupational Therapist | 4460 Celebration Blvd, Acworth, GA 30101-1105 | 2020-05-23 |
| 1336639889 | Jamequa A Stallworth | Speech-Language Pathologist | 4460 Celebration Blvd, Acworth, GA 30101-1105 | 2018-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952931552 | A3j Incorporated | Registered Nurse | 3905 Cobb Pkwy Nw Ste 305, Acworth, GA 30101 | 2020-01-22 |
| 1043869852 | Sharron Leigh Lipscomb | Acupuncturist | 3661 Cedarcrest Rd Ste 320, Acworth, GA 30101 | 2019-09-05 |
| 1699322933 | Cowry Home Dialysis LLC | Durable Medical Equipment & Medical Supplies | 4450 Calibre Crossings Nw, Suite # 1122, Acworth, GA 30101 | 2019-08-21 |
| 1760979595 | Sandra Jeanetta Pugh | Counselor | 118 Clubhouse Crossing, Acworth, GA 30101 | 2018-04-17 |
| 1679926950 | Cindy Hatfield Fruits | Psychologist | 4839 N. Main Street, Acworth, GA 30101 | 2016-07-21 |
| 1396192563 | Philip Young | Specialist/Technologist | 4841 Lake Park Lane, Acworth, GA 30101 | 2016-05-18 |
| 1770960619 | Karen Fuller | Marriage & Family Therapist | 2487 Cedarcrest Rd Ste 722, Acworth, GA 30101 | 2015-04-29 |
| 1366830333 | Willard Hogan IIi | Physician Assistant | 1720 Mars Hill Rd Nw Ste 8-175, Acworth, GA 30101 | 2014-12-29 |
| 1386042083 | Sebastian Diaz Fischer | Chiropractor | 2639 Hickory Grove Rd, Suit 150, Ackworth, GA 30101 | 2014-12-11 |
| 1841699337 | J Chappell Md PC | Dermatology | 4450 Calibre Crossings, Suite 1208, Acworth, GA 30101 | 2014-08-20 |
| Find all providers in zip 30101 | ||||
| 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 |
|---|---|---|---|---|
| 1649758152 | Melanie Blackwood Gilley | Speech-Language Pathologist | 143 Plantation Ln, Acworth, GA 30101-4746 | 2018-08-06 |
| 1518460088 | Lisa C. Berger | Speech-Language Pathologist | 4350 Robinson St, Acworth, GA 30101-5441 | 2018-03-12 |
| 1962874099 | Lakeisha Jackson | Speech-Language Pathologist | 205 Shaw Dr, Acworth, GA 30102-2075 | 2015-10-28 |
| 1366862534 | Laura Mcpherson | Speech-Language Pathologist | 3950 Cobb Pkwy Nw Ste 801, Acworth, GA 30101-9524 | 2014-04-25 |
| 1720416324 | Kristi Renee Evans | Speech-Language Pathologist | 5521 Hedge Brooke Dr Nw, Acworth, GA 30101-7139 | 2013-10-17 |
| 1659659878 | Diana Patrice Burns-mayfield | Speech-Language Pathologist | 4035 Baywind Walk Nw, Acworth, GA 30101-7610 | 2011-07-22 |
| 1619296886 | Jaclyn Yevonne Dorsey | Speech-Language Pathologist | 334 Graves Rd, Acworth, GA 30101-6172 | 2010-05-26 |
| 1538315874 | Speech Breakthrough, LLC | Speech-Language Pathologist | 157 Windcroft Ln Nw, Acworth, GA 30101-3767 | 2008-08-18 |
| 1073779971 | Karen Casadaban | Speech-Language Pathologist | 4957 Day Lily Way, Acworth, GA 30102 | 2008-07-31 |
| 1013196435 | Caren Malin Doleys | Speech-Language Pathologist | 1120 Regiment Drive Nw, Let's Start Communicating, L.L.C., Acworth, GA 30101-8462 | 2007-11-01 |
| Find all providers in ACWORTH | ||||
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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.