COURTNEY JACKSON (NPI# 1487930723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487930723 |
| Entity Type | Individual |
| Full Name | COURTNEY JACKSON |
| Credential | SLP ASSISTANT |
| Practice Address |
19424 Fallow Ln Edinburg TX 78542-1038 |
| Practice Telephone | 9564572645 |
| Mailing Telephone | 9564572645 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |
| 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 |
34883 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394938 | Courtney Jackson | Technician | 497 Candlestick Ct Apt B, Galloway, OH 43119-9216 | 2020-10-20 |
| 1063024842 | Courtney Ann Jackson | Technician | 5001 Mcclellan Hwy, Branchland, WV 25506-7704 | 2020-08-21 |
| 1912318429 | Courtney Jackson | Technician | 4134 Woodmont Dr, Houston, TX 77045-3330 | 2014-05-19 |
| 1760814396 | Courtney Danielle Jackson | Counselor | 534 E Basin St, Norristown, PA 19401-4068 | 2013-08-06 |
| 1689824302 | Courtney Brooke Jackson | Naturopath | 511 Sw 10th Ave Ste 801, Portland, OR 97205-2709 | 2008-09-30 |
| 1063606846 | Courtney Lara Jackson | Counselor | 1801 Vincente St, San Francisco, CA 94116-2923 | 2007-09-05 |
| 1164029245 | Courtney Jackson | Speech-Language Pathologist | 65 Court St, Brooklyn, NY 11201-4916 | 2020-10-02 |
| 1457966509 | Courtney Tamara Jackson | Nurse Practitioner | 407 Cowart Ave, Valdosta, GA 31602-2635 | 2020-09-14 |
| 1013533926 | Courtney Marie Jackson | Family Medicine | 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 | 2020-06-17 |
| 1508494600 | Courtney Elyse Jackson | Nurse Practitioner | 2508 Scottsville Rd Ste 104, Bowling Green, KY 42104-4400 | 2020-04-01 |
| Street Address |
19424 FALLOW LN |
| City | EDINBURG |
| State | TX |
| Zip Code | 78542-1038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346849643 | Rgvmeds Pharmacy LLC | Pharmacy | 2606 E Richardson Rd, Edinburg, TX 78542 | 2020-10-19 |
| 1699309088 | Santa Cruz Day Care for Adults, LLC | Clinic/Center | 2015 E University Drive, Edinburg, TX 78542 | 2020-02-25 |
| 1053963223 | Sonadores Therapy Centers, LLC | Speech-Language Pathologist | 2602 E Richardson Rd, Edinburg, TX 78542 | 2019-07-09 |
| 1003383951 | Magnolia Dme LLC | Durable Medical Equipment & Medical Supplies | 2605 S Alamo Rd, Ste 1, Edinburg, TX 78542 | 2018-10-30 |
| 1619330248 | A&m Home Health Agency, LLC | In Home Supportive Care | 1724 Wilcox Dr, Edinburg, TX 78542 | 2016-03-31 |
| 1790145019 | Veronica Mares | Speech-Language Pathologist | 1913 Majella Street, Edinburg, TX 78542 | 2016-02-29 |
| 1073982146 | Maria Dejesus Trejo | Occupational Therapist | 5103 East Chapin Street, Edinburg, TX 78542 | 2015-09-18 |
| 1568844736 | Mercy Dental Pllc | Dentist | 1905 E Monte Cristo Rd, Suite A, Edinburg, TX 78542 | 2015-06-24 |
| 1720489974 | Natasha Boutte | Pharmacist | 2812 South Expressway 281, Edinburg, TX 78542 | 2014-09-08 |
| 1972923407 | Omnia Therapy Services L.L.C. | Speech-Language Pathologist | 1501 E. Trenton, Edinburg, TX 78542 | 2014-04-23 |
| Find all providers in zip 78542 | ||||
| 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 |
|---|---|---|---|---|
| 1942783816 | Connie Francis Gonzalez | Specialist/Technologist | 3022 Langer Dr, Edinburg, TX 78542-2055 | 2018-09-07 |
| 1073094330 | Alexandria Dee Martinez | Specialist/Technologist | 2524 W Freddy Gonzalez Dr, Edinburg, TX 78539-7339 | 2018-08-24 |
| 1598245177 | Laurisa Yvette Rubalcaba | Specialist/Technologist | 2622 Presidio Dr Apt 2, Edinburg, TX 78539-3325 | 2018-08-14 |
| 1740769884 | Carmen Gonzalez | Specialist/Technologist | 3131 Iris Ave, Edinburg, TX 78539-3474 | 2018-08-09 |
| 1497244123 | Nathaly Benavides | Specialist/Technologist | 2503 Gregg Dr, Edinburg, TX 78542-0743 | 2018-05-08 |
| 1336641166 | Nicole Raquel Garcia | Specialist/Technologist | 1132 N Closner Blvd, Edinburg, TX 78541-2556 | 2018-03-07 |
| 1194093443 | Priscilla Darlene Leal | Specialist/Technologist | 834 Studio Lane, Edinburg, TX 78542 | 2011-12-01 |
| 1649597840 | Ruth Iris Aguilera | Specialist/Technologist | 1113 S. 10th Ave., Edinburg, TX 78539 | 2010-04-27 |
| 1134367667 | Bessie Yoana Moreno | Specialist/Technologist | 1109 Lexington Cir, Apt 4, Edinburg, TX 78539-7584 | 2009-01-21 |
| 1922246461 | Guadalupe Guajardo IIi | Specialist/Technologist | 3616 Joby St Apt 1, Edinburg, TX 78541-6141 | 2009-01-21 |
| Find all providers in EDINBURG | ||||
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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.