Keshia Marie Nesmith Jackson, MS.ED., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202008107 Issued in VA

Practice address

303 Chesapeake Ave
Portsmouth, VA 23704-1609

Phone

(757) 338-1854

NPI assigned

Feb 13, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1013456961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CHESAPEAKE AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237041609",
            "telephone_number": "757-338-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CHESAPEAKE AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237041609",
            "telephone_number": "757-338-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESMITH JACKSON",
        "first_name": "KESHIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia S Nelson, PA-C
• Andrew Alonzo Nelson, MD
• Cody James Nelson, DMD
• Joshua Nelson
• Stacy H Nemes, RN
• Sandra Nestor, ACNP-BC
• Nicole Renee Neumann, MSED, LAT, ATC, CSCS
• Theodore William Neumann, LPC
• Never Alone Home Services LLC (Never Alone Home Services)
• Kenneth Neville

• Speech-Language Pathologist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.