Royce Jackson, MS CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

868 Kingsland Ave
Saint Louis, MO 63130-3181

Phone

(844) 518-9663

NPI assigned

Sep 29, 2023

Sex

Female

Sole proprietor

No

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

Credentials

Master of Science

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1265212047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 LINDSAY LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315629",
            "telephone_number": "314-762-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 KINGSLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303181",
            "telephone_number": "844-518-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ROYCE",
        "credential": "MS CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Jackson, LISW
• Rebecca Jackson, SLP
• Ron Darryl Jackson, DDS
• Rose Louise Jackson
• Rosemary B Jackson, MSW,LCSW
• Ryan Scott Jackson, MD
• Shawn Jackson
• Sherri Lynne Jackson, MD
• Sherrill M Jackson, CPNP
• Tammera Jackson, LPC

• Speech-Language Pathologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.