JESSICA DAVIS JACKSON (NPI# 1861875486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861875486 |
| Entity Type | Individual |
| Full Name | JESSICA DAVIS JACKSON |
| Credential | AU.D. |
| Practice Address |
810 Plaza Blvd Lancaster PA 17601-2762 |
| Mailing Address |
160 Colonial Crest Dr Lancaster PA 17601-6124 |
| Practice Telephone | 7177351463 |
| Mailing Telephone | 7742386503 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AT006419 | PA | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1030512850001 | 05 | |
| CAQH | 13592238 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759594 | Jessica Ashley Jackson | Social Worker | 310 W Mckinley Ave, Mishawaka, IN 46545-5600 | 2020-10-28 |
| 1396387361 | Jessica Leeann Jackson | In Home Supportive Care | 2643 Portsmouth Pl, Hephzibah, GA 30815-6434 | 2019-10-11 |
| 1720638018 | Jessica Jackson | Registered Nurse | 1600 Pine Tree Rd Apt 415, Longview, TX 75604-3244 | 2019-09-18 |
| 1386106326 | Jessica Marie Jackson | Specialist/Technologist | 120 Main St Apt 217, Saco, ME 04072-3528 | 2019-04-01 |
| 1205335916 | Jessica Berdette Jackson | Licensed Practical Nurse | 376 Owego Rd, Candor, NY 13743-1645 | 2018-02-08 |
| 1023553187 | Jessica Elise Jackson | Physician Assistant | 2109 S Santa Fe Ave, Moore, OK 73160-2807 | 2016-12-28 |
| 1982151130 | Jessica Jackson | Licensed Practical Nurse | 25 Green Knolls Dr Apt D, Rochester, NY 14620-4777 | 2016-09-06 |
| 1770940975 | Jessica Jackson | Technician, Other | 24024 Evergreen Rd Apt 108a, Southfield, MI 48075-5517 | 2016-01-20 |
| 1710344007 | Jessica Jackson | Social Worker | 4 Tufts Trl, Hopatcong, NJ 07843-1013 | 2016-01-18 |
| 1336572726 | Jessica L Jackson | Health Educator | 492 Naughright Rd, Long Valley, NJ 07853-3807 | 2013-08-20 |
| Street Address |
810 PLAZA BLVD |
| City | LANCASTER |
| State | PA |
| Zip Code | 17601-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861480170 | Thomas Frank Krulewski | Ophthalmology | 810 Plaza Blvd, Ste 103, Lancaster, PA 17601-2738 | 2005-10-11 |
| 1851915698 | Samantha Iezzi | Audiologist | 810 Plaza Blvd, Lancaster, PA 17601-2762 | 2020-06-07 |
| 1760977409 | Amanda Nicole Arnold | Audiologist | 810 Plaza Blvd, Lancaster, PA 17601-2762 | 2018-06-26 |
| 1316495971 | Arys Marie Yunque | Audiologist | 810 Plaza Blvd, Lancaster, PA 17601-2762 | 2016-09-13 |
| 1336520683 | Elizabeth Eleanor Blackburn | Audiologist | 810 Plaza Blvd, Lancaster, PA 17601-2762 | 2015-06-12 |
| 1376975391 | Maria F Kuzio | Physician Assistant | 810 Plaza Blvd, Suite 102, Lancaster, PA 17601-2762 | 2013-08-01 |
| 1356678460 | Tami Lynn Shea | Audiologist | 810 Plaza Blvd, Lancaster, PA 17601-2762 | 2009-11-10 |
| 1124285846 | Jean-marie Grande | Audiologist | 810 Plaza Blvd, Lancaster, PA 17601-2762 | 2008-05-20 |
| 1962605758 | Jennifer Lynn Dankel | Physician Assistant | 810 Plaza Blvd, Lancaster, PA 17601 | 2007-06-08 |
| 1134200181 | Otolaryngology Physicians of Lancaster, Ltd. | Otolaryngology | 810 Plaza Blvd, Lancaster, PA 17601-2762 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333967 | Hummel Foot and Ankle LLC | Podiatrist | 1525 Old Schoolhouse Road, Suite 1201, Lancaster, PA 17601 | 2020-03-27 |
| 1487285508 | United Disabilities Services Foundation | Contractor | 2270 Erin Ct, Lancaster, PA 17601 | 2020-01-28 |
| 1699311522 | Meals On Wheels, Inc | Home Delivered Meals | 1085-b Manheim Pike, Lancaster, PA 17601 | 2019-11-26 |
| 1245711555 | Molly Cates Casey | Nurse Practitioner | 190 N Pointe Blvd Ste 1, Lancaster, PA 17601 | 2018-08-24 |
| 1588142293 | Wegmans Food Markets, Inc. | Pharmacy | 2000 Crossings Blvd, Lancaster, PA 17601 | 2018-08-03 |
| 1942791918 | Linda J Arnold | Registered Nurse | 2645 Valley View Dr, Lancaster, PA 17601 | 2018-05-24 |
| 1003311598 | Nicole Marie Adams | Social Worker | 255 Butler Avenue, Suite 103, Lancaster, PA 17601 | 2018-03-27 |
| 1013418912 | Pinnacle Health Medical Services | Clinic/Center | 1160 Manheim Pike Ste 101, Lancaster, PA 17601 | 2018-02-26 |
| 1962911750 | Keystone Functional Medicine, PC | General Practice | 1689 Crown Ave Ste 5, Lancaster, PA 17601 | 2017-09-25 |
| 1427573302 | Ellen Hoffman | Massage Therapist | 2108 Harrisburg Pike Ste 315, Lancaster, PA 17601 | 2017-08-11 |
| Find all providers in zip 17601 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190126 | Leeann Koch | Audiologist | 2160 Noll Drive, Suite 100, Lancaster, PA 17603 | 2017-08-16 |
| 1053835298 | Carley Rae Pitts | Audiologist | 2700 W Pleasant Run Rd Ste 240, Lancaster, TX 75146-1004 | 2017-07-31 |
| 1861707838 | Village Audiology and Hearing Aid Services, Pllc | Audiologist | 56 Church St., Lancaster, NY 14086 | 2010-08-13 |
| 1558534354 | Parviz Eslami | Audiologist | 2054 W Avenue K, Lancaster, CA 93536-5216 | 2008-04-12 |
| 1871782813 | Teresa Lee Cannon | Audiologist | 2670 N Columbus St Ste B, Lancaster, OH 43130-8408 | 2007-10-16 |
| 1710177993 | George Skowronski | Audiologist | 2469c Lititz Pike, Lancaster, PA 17601-3640 | 2007-07-25 |
| 1811015001 | Anna Daggett | Audiologist | 1303 River Valley Blvd Ste B, Lancaster, OH 43130-1669 | 2007-03-26 |
| 1891855839 | Christine M Wiedmeyer | Audiologist | 1810 Oregon Pike, Lancaster, PA 17601-6470 | 2006-12-11 |
| 1386748929 | Tamara S. Bennawit | Audiologist | 442 Running Pump Road, Lancaster, PA 17601 | 2006-09-12 |
| 1528091089 | Heather Lynn Eck | Audiologist | 600 Willow Valley Square, Lancaster, PA 17602 | 2006-07-08 |
| Find all providers in LANCASTER | ||||
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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.