BIANCA MICHELLE JACKSON (NPI# 1790293264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790293264 |
| Entity Type | Individual |
| Full Name | BIANCA MICHELLE JACKSON |
| Practice Address |
16507 Mahogany Dr Missouri City TX 77489-3918 |
| Practice Telephone | 7138236625 |
| Mailing Telephone | 7138236625 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-01-17 |
| 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 |
Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114306016 | Bianca Jackson | Speech-Language Pathologist | 1832 Stanocola Dr, Baton Rouge, LA 70807-3047 | 2015-05-26 |
| 1891075636 | Bianca Jackson | Rehabilitation Practitioner | 2655 E Deer Springs Way Apt 2085, North Las Vegas, NV 89086-1466 | 2011-08-24 |
| 1255940771 | Bianca Jackson | Case Manager/Care Coordinator | 1202 Kirkman St Ste C, Lake Charles, LA 70601-5391 | 2020-07-30 |
| Street Address |
16507 MAHOGANY DR |
| City | MISSOURI CITY |
| State | TX |
| Zip Code | 77489-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760018493 | Kate Anim Koranteng | Registered Nurse | 14001fondren Rd Apt 538, Missouri City, TX 77489 | 2020-03-13 |
| 1114490042 | Cindy Collins | Specialist | 2431 Cartwright Rd, Missouri City, TX 77489 | 2019-01-03 |
| 1114435989 | Dora M Griffin | Speech-Language Pathologist | 2214 Maplegate Dr., Missouri City, TX 77489 | 2018-01-16 |
| 1942719323 | Loving Arms Senior Assistance | Custodial Care Facility | 16747 Quail Prak Dr, Missouri, TX 77489 | 2017-09-28 |
| 1669997730 | Darwyn Donte Glover | Case Manager/Care Coordinator | 16402 Skeet Ct, Missouri City, TX 77489 | 2017-08-09 |
| 1821512153 | Cyrus Johnson | Specialist | 2322 Rivervalley Dr., Missouri City, TX 77489 | 2017-07-28 |
| 1174045546 | Goucs Healthcare Services, LLC | Technician | 1403 Orchid Dr, Missouri City, TX 77489 | 2017-07-07 |
| 1417305491 | Alpha Care Cma | Case Management | 510 Saberwood Dr, Missouri City, TX 77489 | 2016-05-31 |
| 1427403575 | Jeanette Hoffmann | Counselor | 3 Sugat Creek Center Blvd, Suiste 100, Office 168, Sugarland, TX 77489 | 2016-04-26 |
| 1932573375 | Victory House Calls | Nurse Practitioner | 6519 Briargate Trails, Missouri, TX 77489 | 2015-11-23 |
| Find all providers in zip 77489 | ||||
| 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 |
|---|---|---|---|---|
| 1669951422 | Latarsha Talaine Greenwood Giles | Specialist/Technologist | 3419 Sparta Dr, Missouri City, TX 77459-6760 | 2018-08-11 |
| 1104328640 | Migdalia Claudio | Specialist/Technologist | 2440 Texas Pkwy Ste 351, Missouri City, TX 77489-4501 | 2018-02-28 |
| 1609377084 | Andrea Vanessa Carter | Specialist/Technologist | 3639 Canton Hills Ln, Missouri City, TX 77459-5088 | 2018-02-22 |
| 1699275248 | Anissia Wilson | Specialist/Technologist | 2351 River Valley Dr, Missouri City, TX 77489-5011 | 2018-02-20 |
| 1497253082 | Gabrielle Baskin | Specialist/Technologist | 4043 Dell Ln, Missouri City, TX 77459-6611 | 2018-01-29 |
| 1003324237 | Alyssa Estrada | Specialist/Technologist | 7911 Pawnee Pass, Missouri City, TX 77459-3395 | 2018-01-22 |
| 1356570410 | Cristina Mascarenhas Harris | Specialist/Technologist | 3424 Fm 1092 Rd, Suite 200, Missouri City, TX 77459-2285 | 2009-07-10 |
| 1255568127 | Megan Renee Baker | Specialist/Technologist | 3424 Fm 1092 Rd, Suite 200, Missouri City, TX 77459-2285 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001677 | Stephanie Lee Perez | Specialist/Technologist | 3200 Colonial Pkwy Apt 920, Belton, TX 76513-5841 | 2020-10-22 |
| 1750989257 | Paulina Ivonne Ramirez | Specialist/Technologist | 6903 Pamlico Dr, El Paso, TX 79912-3105 | 2020-10-15 |
| 1063010239 | Gabriella Anne Ruffo | Specialist/Technologist | 17823 Riata Canyon Ct, Cypress, TX 77433-2361 | 2020-10-11 |
| 1922605963 | Julianna Ruiz | Specialist/Technologist | 11709 Broadmoor Dr, Dallas, TX 75218-2053 | 2020-10-02 |
| 1134726151 | Autumn Kelsey Lee | Specialist/Technologist | 250 Bens Trl Apt 522, Fort Worth, TX 76120-7000 | 2020-10-02 |
| 1578160602 | Alexis Scoggin | Specialist/Technologist | 1908 Warwick Cir W, Longview, TX 75601-3139 | 2020-10-01 |
| 1184231524 | Andrea Wenceslada Guerrero | Specialist/Technologist | 222 N Expressway 77/83 Ste 104, Brownsville, TX 78521-2258 | 2020-09-29 |
| 1831706944 | Madeline Lee Lawson | Specialist/Technologist | 10018 Locke Ln, Houston, TX 77042-3102 | 2020-09-24 |
| 1215543665 | Leslie Ednis Pena | Specialist/Technologist | 1005 E 10th St Ste A, Weslaco, TX 78596-5133 | 2020-09-21 |
| 1982210472 | Juana Maria Perez | Specialist/Technologist | 5505 Burton Ln, Corpus Christi, TX 78411-4613 | 2020-09-20 |
| Find all providers with the same taxonomy | ||||
| City | MISSOURI CITY |
| Zip Code | 77489 |
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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.