MS. MEREDITH LYNETTE JACKSON (NPI# 1720428311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720428311 |
| Entity Type | Individual |
| Full Name | MS. MEREDITH LYNETTE JACKSON |
| Practice Address |
2615 N Prickett Rd Bryant AR 72022-7523 |
| Practice Telephone | 5018477337 |
| Mailing Telephone | 5018477337 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952872277 | Meredith P Jackson | Nurse Anesthetist, Certified Registered | 3100 Sw 89th St, Oklahoma City, OK 73159-7900 | 2018-12-14 |
| 1174917439 | Meredith Bryden Jackson | Pediatrics | 22 Bramhall St, Portland, ME 04102 | 2015-03-25 |
| Street Address |
2615 N PRICKETT RD |
| City | BRYANT |
| State | AR |
| Zip Code | 72022-7523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962849406 | Kaneisha Ann Robinson Campbell | Speech-Language Pathologist | 2615 N Prickett Rd, Suite 10, Bryant, AR 72022-7523 | 2013-05-23 |
| 1750863049 | Blue Sky Hope and Recovery Center | Clinic/Center | 2615 N Prickett Rd, Bryant, AR 72022-7523 | 2018-09-03 |
| 1376967190 | Hanna Marissa Newton | Physical Therapy Assistant | 2615 N Prickett Rd, #10, Bryant, AR 72022-7523 | 2014-02-13 |
| 1396187175 | Erin Marie Nance | Speech-Language Pathologist | 2615 N Prickett Rd, Suite 10, Bryant, AR 72022-7523 | 2013-07-22 |
| 1003256603 | Laura E Jackson | Developmental Therapist | 2615 N Prickett Rd, Suite 10, Bryant, AR 72022-7523 | 2013-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
| 1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
| 1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
| 1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
| 1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
| 1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
| 1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
| 1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
| Find all providers in zip 72022 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902354475 | Shannon Spurr | Developmental Therapist | 22461 I 30 Ste 1100a, Bryant, AR 72022-2379 | 2016-09-14 |
| 1215480538 | Kristen Faith Arnold | Developmental Therapist | 22461 I 30 Ste 1100a, Bryant, AR 72022-2379 | 2016-08-03 |
| 1225455751 | Jessica Roberts | Developmental Therapist | 2615 N Prickett Rd Ste 3, Bryant, AR 72022-7546 | 2014-03-21 |
| 1285074732 | Rebecca Danielle Russell | Developmental Therapist | 2615 N Prickett Rd Ste 10, Bryant, AR 72022-7546 | 2013-06-28 |
| 1316387921 | Emilie B Sims | Developmental Therapist | 2615 N Prickett Rd Ste 10, Bryant, AR 72022-7546 | 2013-06-27 |
| 1003256603 | Laura E Jackson | Developmental Therapist | 2615 N Prickett Rd, Suite 10, Bryant, AR 72022-7523 | 2013-06-27 |
| 1770711186 | Angel Moran | Developmental Therapist | 908 N Reynolds Rd, Bryant, AR 72022-3034 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396379897 | Allison Nicole Davis | Developmental Therapist | 104 Hope St, Hoxie, AR 72433-9014 | 2020-02-24 |
| 1174161707 | Anna Shrum | Developmental Therapist | 721 Alford Street, Flippin, AR 72634 | 2019-12-13 |
| 1033752290 | Krista Crainer | Developmental Therapist | 4701 N Carbon City Rd, Ozark, AR 72949 | 2019-10-21 |
| 1063061216 | Dawn Renae Burnett | Developmental Therapist | 2001 E Kiehl Ave Ste 12, Sherwood, AR 72120-3123 | 2019-09-10 |
| 1972165827 | Heather Marie Box | Developmental Therapist | 344 Fayetteville Ave, Alma, AR 72921-3655 | 2019-07-01 |
| 1861954950 | Darnise Lashelle Price | Developmental Therapist | 18 Woodbriar Dr, Jacksonville, AR 72076-5365 | 2019-04-05 |
| 1164984373 | Keys (keeping Every Youth Safe) | Developmental Therapist | 2717 So Ringo Street, Little Rock, AR 72206-6554 | 2019-04-05 |
| 1194215350 | Amy Carol Yetley | Developmental Therapist | 8 Van Lee Dr, Little Rock, AR 72205-2452 | 2018-05-14 |
| 1447759782 | Lashauna Walton | Developmental Therapist | 129 Harvick Cir, Cabot, AR 72023-7107 | 2018-02-01 |
| 1780102210 | Janet Karen Watkins | Developmental Therapist | 1810 Ozarka College Drive, Mountain View, AR 72560 | 2017-09-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. MEREDITH LYNETTE JACKSON.
| 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.