Kristin Elisabeth Jackson
Individual provider Active NPI Speech-Language Pathologist · Stevens, PA
NPI 1285501353 · NPPES record last updated Oct 22, 2025
Key facts
- NPI
- 1285501353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 63 W Church St
Stevens, PA 17578-9203 - Phone
- (717) 721-8790
- NPI assigned
- Oct 22, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
63 W Church St
Stevens, PA 17578-9203
Mailing address
1109 James St
Sinking Spring, PA 19608-1421
Other providers in Stevens, PA
- Stephen Groner
- Jordyn McKenna Hamilton
- Meredith Hartz
- Madeleine Hoffman
- Steven Homyack Jr.
- Daniel Williams Johnson III
- Lisa E Karpel
- Sarah Knott
- Lauren Kunkle
- Lancaster Leasing Partnership
All providers in Stevens, PA · Speech-Language Pathologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 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.