SAMANTHA JACKSON (NPI# 1558615583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558615583 |
| Entity Type | Individual |
| Full Name | SAMANTHA JACKSON |
| Credential | SLP |
| Practice Address |
4609 San Dario Ave Ste 9 Laredo TX 78041-5773 |
| Practice Telephone | 9567236600 |
| Practice Fax Number | 9567236614 |
| Mailing Telephone | 9567236600 |
| Mailing Fax Number | 9567236614 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 107527 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649804360 | Samantha Jackson | Home Health Aide | 920 Waycross Rd, Cincinnati, OH 45240-3071 | 2020-03-03 |
| 1215408489 | Samantha Jackson | Licensed Vocational Nurse | 6100 Ashbury St Apt 3114, North Richland Hills, TX 76180-2010 | 2018-12-16 |
| 1861960221 | Samantha Rae Jackson | Nurse Practitioner | 320 Sumner Blvd, Collinsville, IL 62234-1929 | 2018-11-05 |
| 1104806967 | Samantha Jackson | Family Medicine | 415 W Forest Ln, Hobart, OK 73651-1645 | 2006-01-18 |
| 1710527387 | Samantha Jackson | Behavior Technician | 21230 Kingsland Blvd Ste 100a, Katy, TX 77450-5899 | 2020-01-13 |
| 1609438225 | Samantha Lachelle Jackson | Counselor | 1900 N Howard St Ste 300, Baltimore, MD 21218-5909 | 2019-07-03 |
| 1245607357 | Samantha Rae Jackson | Counselor | 695 South St, Chardon, OH 44024-1474 | 2015-08-24 |
| 1174906549 | Samantha L Jackson | Counselor | 1470 Civic Ct Ste 110, Concord, CA 94520-5290 | 2015-07-03 |
| 1801191754 | Samantha Jackson | Physician Assistant | 1818 Richardson Dr, Reidsville, NC 27320-5451 | 2011-01-24 |
| 1457652489 | Samantha R. Jackson | Licensed Practical Nurse | 5285 Lewiston Rd, Lewiston, NY 14092-1942 | 2010-11-08 |
| Street Address |
4609 SAN DARIO AVE STE 9 |
| City | LAREDO |
| State | TX |
| Zip Code | 78041-5773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790970531 | Selina Ramirez-ramos | Speech-Language Pathologist | 4609 San Dario Ave Ste 9, Laredo, TX 78041-5773 | 2007-09-13 |
| 1396146866 | Aaron Cantu | Physical Therapist | 4609 San Dario Ave Ste 9, Laredo, TX 78041-5773 | 2014-09-15 |
| 1659632438 | Eric Albert Navarro | Speech-Language Pathologist | 4609 San Dario Ave Ste 9, Laredo, TX 78041-5773 | 2012-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769817 | Alejandra Alcaraz | Case Manager/Care Coordinator | 6548 Springfield Ave # 202, Laredo, TX 78041 | 2019-06-13 |
| 1003371238 | Karina A De Anda | Physical Therapy Assistant | 7109 N Bartlett Ave, Suite 109, Laredo, TX 78041 | 2019-02-01 |
| 1396200515 | Julissa Rebeca Vazquez | Physical Therapy Assistant | 7109 N Bartlett Ave., Suite 109, Laredo, TX 78041 | 2019-02-01 |
| 1982168720 | Alexander Garcia Madriaga | Physical Therapy Assistant | Regent Care Center, 7001 Mcpherson Avenue, Laredo, TX 78041 | 2019-01-25 |
| 1528538154 | Laredo Operator 2 Ltd. | Skilled Nursing Facility | 4301 North Bartlett Avenue, Laredo, TX 78041 | 2018-11-27 |
| 1639648488 | Lhkp Optometry Pllc | Optometrist | 5401 Mcpherson Rd Suite 10, Laredo, TX 78041 | 2018-11-21 |
| 1699244624 | Clear Choice Er, LLC | Clinic/Center | 7105 Bartlett Ave., Laredo, TX 78041 | 2018-11-20 |
| 1407337702 | Yvonne Denetre Cisneros | Speech-Language Pathologist | 1505 Calle Del Norte Ste 440-460, Laredo, TX 78041 | 2018-08-24 |
| 1811476765 | Christina Marie Dilley | Occupational Therapy Assistant | 4301 North Bartlett Ave., Laredo, TX 78041 | 2018-08-11 |
| 1023595386 | Motion Behavioral Health | Case Management | 6548 Springfield Ave Num 202, Laredo, TX 78041 | 2018-07-19 |
| Find all providers in zip 78041 | ||||
| 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 |
|---|---|---|---|---|
| 1811553787 | Sara Renee Lara | Speech-Language Pathologist | 2520 Mickelson, Laredo, TX 78045-8647 | 2019-05-15 |
| 1407337702 | Yvonne Denetre Cisneros | Speech-Language Pathologist | 1505 Calle Del Norte Ste 440-460, Laredo, TX 78041 | 2018-08-24 |
| 1114436631 | Lauren Brittany Rios | Speech-Language Pathologist | Epic Health Services, 1505 Calle De Narte, Suite 440, Laredo, TX 78041 | 2017-09-27 |
| 1912427964 | Ana Karen Ramirez | Speech-Language Pathologist | 2335 E Saunders St # 3, Laredo, TX 78041-5434 | 2017-06-21 |
| 1487196127 | Annie Elizabeth Miller | Speech-Language Pathologist | 408 Shiloh Dr # 11, Laredo, TX 78045-6700 | 2016-11-11 |
| 1033561618 | Melissa Hinojosa | Speech-Language Pathologist | 1505 Calle Nel Norte Dr. #440, Laredo, TX 78041 | 2016-07-07 |
| 1730553165 | Alexa Martinez | Speech-Language Pathologist | 2335 E Saunders St Ste 3, Laredo, TX 78041-5434 | 2015-11-23 |
| 1417361783 | Marissa Jimenez | Speech-Language Pathologist | 1505 Calle Del Norte Dr #440, Laredo, TX 78041 | 2014-06-16 |
| 1003220591 | Tatiann Lozano | Speech-Language Pathologist | 2108 Chihuahua St Ste 2, Laredo, TX 78043-3658 | 2014-06-12 |
| 1225309321 | Maria Luisa Perez | Speech-Language Pathologist | 919 E Ash St, Laredo, TX 78040-1526 | 2012-01-20 |
| Find all providers in LAREDO | ||||
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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.