Active NPI
Amanda Jolene Jackson, M.S., SLP-CF
- Speech-Language Pathologist
- Hamilton, MT
National Provider Identifier
1306226972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP-SP-TMP-4933
- Practice address
- 1200 Westwood Dr
Hamilton, MT 59840-2345 - Phone
- (406) 375-4570
- NPI assigned
- Jun 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP-SP-TMP-4933 | MT | Primary |
Addresses
Primary practice location
1200 Westwood Dr
Hamilton, MT 59840-2345
Mailing address
1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 375-4570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP-SP-TMP-4933 | MT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1306226972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 WESTWOOD DR",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402345",
"telephone_number": "406-375-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WESTWOOD DR",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598402345",
"telephone_number": "406-375-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "AMANDA",
"middle_name": "JOLENE",
"name_prefix": "Mrs.",
"credential": "M.S., SLP-CF",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "SLP-SP-TMP-4933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, MT
- Infinity Health Physical Therapy and Wellness
- Lawrence J. Ingvalson, PTA
- Bonnie Mae Inks, MA, LAC
- Intergenerational Living & Health Care, Inc
- Irene Walters Family Psychiatry PC
- Dawson Jakober, SLP
- James H Chandler MD PC
- Jamie M. Bacon Crossman, DDS, PC
- Allison Wilson Janes, LCSW
- Holly McMullen Jarvis, P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.