KRISTEN STAPLES JACKSON (NPI# 1861910499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861910499 |
| Entity Type | Individual |
| Full Name | KRISTEN STAPLES JACKSON |
| Credential | MCD |
| Practice Address |
701 Grove Rd Greenville SC 29605 |
| Mailing Address |
202 Beauclair Dr Simpsonville SC 29680 |
| Practice Telephone | 8643311344 |
| Mailing Telephone | 8033517783 |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2017-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6369 | SC | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316465347 | Kristen Jackson | Registered Nurse | 834 N Seminary St Ste 201, Galesburg, IL 61401-2898 | 2017-08-30 |
| 1255727061 | Kristen Jackson | Registered Nurse | 4028 Connors Way, Blasdell, NY 14219-2985 | 2015-04-08 |
| 1982008918 | Kristen Jackson | Nurse Practitioner | 3333 Bunet Avenue, Mlc 5021, Cincinnati, OH 45229-3026 | 2014-10-20 |
| 1801167267 | Kristen Jackson | Specialist | 1007 Sienna Dr, Danbury, CT 06810-7151 | 2012-01-17 |
| 1174804678 | Kristen M Jackson | Speech-Language Pathologist | 114 Lockett Ln, Saint George, KS 66535-9618 | 2011-08-29 |
| 1982211355 | Kristen Imani Jackson | Case Manager/Care Coordinator | 1995 Gentilly Blvd Ste C-400, New Orleans, LA 70119-1700 | 2020-09-29 |
| 1841839339 | Kristen Jackson | Physician Assistant | 6001 Stonewood Dr, Wexford, PA 15090-7380 | 2019-12-31 |
| 1952877045 | Kristen Lorraine Jackson | Physical Therapy Assistant | 720 Yorklyn Rd Ste 150, Hockessin, DE 19707-8729 | 2018-10-16 |
| 1518445634 | Kristen Jackson | Case Manager/Care Coordinator | 2404 Ferrand St Ste 24, Monroe, LA 71201-3233 | 2018-07-31 |
| 1255727558 | Kristen Jackson | Student in an Organized Health Care Education/Training Program | 833 Chestnut St Ste 220, Philadelphia, PA 19107-4405 | 2015-04-13 |
| Street Address |
701 GROVE RD |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922002807 | Patricia A Stawaisz | Nurse Anesthetist, Certified Registered | 701 Grove Rd, Greenville, SC 29605-5611 | 2005-06-09 |
| 1851992648 | Sarah Sosebee | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-06 |
| 1942801097 | Kristin Cherie Davis | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-05 |
| 1679174650 | Kristin Welborn | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-05 |
| 1407457666 | Carmen Michele Faulkner-fennell | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-04 |
| 1134720568 | Amanda Parker | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-11-03 |
| 1053911693 | Ryan Walter Ridgeway | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-30 |
| 1891395083 | Tyler Kraft | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| 1912507062 | Courtney Danielle Reddig | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| 1063012128 | Adrienne Eubanks Bundrick | Pharmacist | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| 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 |
|---|---|---|---|---|
| 1780299552 | Mary Atchison | Speech-Language Pathologist | 127 Walnut Street, Greenville, MO 63944 | 2020-09-09 |
| 1467063321 | Alexia Walton | Speech-Language Pathologist | 359 Loop St, Greenville, SC 29609-4579 | 2020-08-13 |
| 1134737331 | Small Talk Pediatric Speech Therapy, LLC | Speech-Language Pathologist | 138 Sunset Dr, Greenville, SC 29605-1913 | 2020-07-14 |
| 1609493154 | Mikayla Michael | Speech-Language Pathologist | 10 Jimmy Doolittle Drive Ste B, Greenville, SC 29607-2622 | 2020-07-01 |
| 1063044824 | Terri Elbaum | Speech-Language Pathologist | 22 Guyencourt Rd, Greenville, DE 19807-1416 | 2020-02-10 |
| 1679112718 | Monique Gadsby | Speech-Language Pathologist | 7208 Three Springs Trl, Greenville, SC 29615-6752 | 2020-01-06 |
| 1467097857 | The Speech Group, LLC | Speech-Language Pathologist | 35 W Tallulah Dr, Greenville, SC 29605-1843 | 2019-11-09 |
| 1225670144 | Lynn Garton Hooker | Speech-Language Pathologist | 1605 E Reed Rd, Greenville, MS 38703-7230 | 2019-10-11 |
| 1588218762 | Addison Wyndham Lee | Speech-Language Pathologist | 117 Chipwood Ln, Greenville, SC 29615-1256 | 2019-07-26 |
| 1952954083 | Kidz Speech & Beyond, Pllc | Speech-Language Pathologist | 4004 Jared Ct, Greenville, NC 27858-8340 | 2019-07-17 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on KRISTEN STAPLES 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.