Asha Nicole Jackson, SLP
Individual provider Active NPI Speech-Language Pathologist · Reserve, LA
NPI 1033095211 · NPPES record last updated Aug 29, 2025
Key facts
- NPI
- 1033095211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 9959 (LA)
- Practice address
- 118 W 10TH St
Reserve, LA 70084-6202 - Phone
- (985) 536-1106
- NPI assigned
- Aug 13, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9959 | LA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9959 | LA | Yes |
Addresses
Primary practice location
118 W 10TH St
Reserve, LA 70084-6202
Mailing address
118 W 10TH St
Reserve, LA 70084-6202
Phone (985) 536-1106
Other providers in Reserve, LA
- Philipe Gilchrist
- Greater Living Care Center
- Quentin Green
- G'Nell R Hall
- Maria Anne Hotard Stelly
- Queysheina Jackson
- Varsha Jasti
- Crystal Jones
- Just Health
- Just Like Family Transportation LLC
All providers in Reserve, LA · Speech-Language Pathologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.