DANIELLE FERNANDA JACKOVITZ (NPI# 1992243620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992243620 |
| Entity Type | Individual |
| Full Name | DANIELLE FERNANDA JACKOVITZ |
| Credential | M.S. |
| Practice Address |
25117 Sw Parkway Ave Ste D Wilsonville OR 97070-9697 |
| Practice Telephone | 9712242040 |
| Mailing Telephone | 9712242040 |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2017-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Street Address |
25117 SW PARKWAY AVE STE D |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070-9697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829258 | Avamere Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 25117 Sw Parkway Ave, Ste F, Wilsonville, OR 97070-9697 | 2005-05-23 |
| 1184151805 | Jessica Beers | Speech-Language Pathologist | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 | 2017-05-11 |
| 1497280044 | Matthew Wayne | Physical Therapy Assistant | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070 | 2017-04-20 |
| 1336673029 | Mary Lawrence Williams | Physical Therapist | 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070-9697 | 2017-04-19 |
| 1447790191 | Rebecca Lauren Reinhardt | Occupational Therapist | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 | 2017-02-28 |
| 1821537911 | Catherine Bonde | Occupational Therapist | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 | 2017-02-22 |
| 1154860419 | Joy Hallett | Occupational Therapist | 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070-9697 | 2017-02-20 |
| 1205374931 | Lauryl James | Physical Therapist | 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070-9697 | 2017-02-01 |
| 1124562822 | Andrea Earnest | Occupational Therapy Assistant | 25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070-9697 | 2016-12-14 |
| 1730622507 | Kaileen Clift | Physical Therapy Assistant | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 | 2016-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| 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 |
|---|---|---|---|---|
| 1518483569 | Valerie Anne Carleton | Speech-Language Pathologist | 32270 Sw Armitage Rd, Wilsonville, OR 97070-7453 | 2017-08-21 |
| 1396288767 | Neurotherapeutic Pediatric Therapies, Inc | Speech-Language Pathologist | 27501 Sw 95th Ave Ste 960, Wilsonville, OR 97070-7713 | 2016-12-02 |
| 1013283316 | Rebecca Colvin | Speech-Language Pathologist | 7253 Sw Meadows Ct, Wilsonville, OR 97070-5762 | 2012-03-30 |
| 1417479106 | Brooke Brown | Speech-Language Pathologist | 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 | 2017-07-13 |
| 1952837940 | Lindsay Lillie | Speech-Language Pathologist | 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 | 2017-05-11 |
| 1184151805 | Jessica Beers | Speech-Language Pathologist | 25117 Sw Parkway Ave, Ste D, Wilsonville, OR 97070-9697 | 2017-05-11 |
| 1023553856 | Cortney Paluso | Speech-Language Pathologist | 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 | 2017-01-03 |
| 1619422912 | Sheri Hardman | Speech-Language Pathologist | 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 | 2016-08-17 |
| 1922450675 | Mallorie Guerra | Speech-Language Pathologist | 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 | 2016-07-06 |
| 1174973820 | Scott Miller | Speech-Language Pathologist | 25117 Sw Parkway Ave, Ste. D, Wilsonville, OR 97070-9697 | 2016-06-14 |
| Find all providers in WILSONVILLE | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
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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.