Livia Jackson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1045 Maryland Ave
Hagerstown, MD 21740-7201

Phone

(301) 750-2897

NPI assigned

Jul 15, 2024

Last updated

Jul 15, 2024By the provider in NPPES

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)

Not enrolled

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1275370496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 S COLEBROOK RD",
            "city": "MANHEIM",
            "state": "PA",
            "postal_code": "175458654",
            "telephone_number": "717-917-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 MARYLAND AVE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217407201",
            "telephone_number": "301-750-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kishia Jackson
• Martina A. Jackson, RN
• Melissa Rose Jackson, LCSW-C
• James Joseph Jacobus, LCPC
• Raghad Abbas Jalil, M.D.
• Abdul-Malik Jalloh-Jamboria, CRNA

• Speech-Language Pathologist in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.