KIMBERLY D. JACKSON (NPI# 1871836395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871836395 |
| Entity Type | Individual |
| Full Name | KIMBERLY D. JACKSON |
| Credential | M.S., CCC-SLP |
| Practice Address |
270 Creekview Blvd Covington GA 30016-7693 |
| Practice Telephone | 4044349595 |
| Practice Fax Number | 7707879345 |
| Mailing Telephone | 4044349595 |
| Mailing Fax Number | 7707879345 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP008106 | GA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951394 | Kimberly Sue Jackson | Home Health Aide | 26 W Warner Rd, Coventry Township, OH 44319-1732 | 2020-10-29 |
| 1588278600 | Kimberly Jackson | Counselor | 2703 N Harrison St, Wilmington, DE 19802-2924 | 2020-09-04 |
| 1184244063 | Kimberly Jackson | Music Therapist | 121 Koeppe Dr, Sequim, WA 98382-9489 | 2020-04-21 |
| 1588293278 | Kimberly Dianne Billie Jackson | Nurse Practitioner | 940 Morningside Dr, Sumter, SC 29153-7724 | 2020-04-04 |
| 1710418355 | Kimberly Jackson | Specialist/Technologist | 2402 High Star Dr, Garland, TX 75041-3236 | 2017-03-24 |
| 1386188332 | Kimberly Jackson | Dietitian, Registered | 2318 Longcourt Way Se, Atlanta, GA 30339-0902 | 2016-12-10 |
| 1336682780 | Kimberly Marie Jackson | Nurse Practitioner | 128 Professional Park Dr Unit B, Conway, SC 29526-9260 | 2016-12-02 |
| 1639535719 | Kimberly Renee Jackson | Massage Therapist | 9175 Cypress Waters Blvd Apt 102, Coppell, TX 75019-5068 | 2016-01-05 |
| 1275934887 | Kimberly Jackson | Counselor | 213 Barrett St, Wilmington, DE 19802-2004 | 2014-09-15 |
| 1972930279 | Kimberly Jackson | Nurse's Aide | 4020 Ulmer Rd, 220, Columbia, SC 29209-3305 | 2013-10-01 |
| Street Address |
270 CREEKVIEW BLVD |
| City | COVINGTON |
| State | GA |
| Zip Code | 30016-7693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
| 1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
| 1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
| 1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
| Find all providers in zip 30016 | ||||
| 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 |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1841811155 | Sullivan Speech and Feeding LLC | Speech-Language Pathologist | 19123 Mclain Rd, Covington, LA 70435-8026 | 2020-04-28 |
| 1598301673 | Beverly Diane Kelley | Speech-Language Pathologist | 1580 Highway 51 S, Covington, TN 38019-3221 | 2019-11-23 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1518523190 | Ellen Troxclair Gonzales | Speech-Language Pathologist | 1025 Jameson Pl, Covington, LA 70433-6420 | 2019-05-19 |
| 1194230110 | Beverly Sweet Gray | Speech-Language Pathologist | 574 W Indian Valley Rd, Covington, VA 24426-2803 | 2017-12-13 |
| 1184152464 | Jennifer T Ayestas | Speech-Language Pathologist | 127 Willow Dr, Covington, LA 70433-4933 | 2017-05-31 |
| 1043747652 | Juliet Leblanc | Speech-Language Pathologist | 146 Beech St, Covington, LA 70433-6213 | 2017-05-12 |
| 1093262669 | Morgan Davis | Speech-Language Pathologist | 202 Mccrae Ln Apt B, Covington, KY 41011-5114 | 2016-09-01 |
| 1619358090 | Courtney Harrison | Speech-Language Pathologist | 56 Louis Prima Dr Ste A, Covington, LA 70433-5903 | 2015-06-11 |
| Find all providers in COVINGTON | ||||
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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.