Active NPI
Amber Rose Jackson, SLP INTERN
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1659970945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 124129
- Practice address
- 1200 Barton Hills Dr
Austin, TX 78704-1902 - Phone
- (703) 887-5685
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 124129 | TX | Primary |
Addresses
Primary practice location
1200 Barton Hills Dr
Austin, TX 78704-1902
Mailing address
1431 Greenway Dr Ste 500
Irving, TX 75038-2444
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124129 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Apple LLC | Current | Accepting new patients |
Locations
1431 Greenway Dr
Ste 500
Irving, TX 75038
Phone (214) 467-9787
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Irving, TX
- NPI 1306170576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1659970945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1431 GREENWAY DR STE 500",
"city": "IRVING",
"state": "TX",
"postal_code": "750382444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BARTON HILLS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787041902",
"telephone_number": "703-887-5685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "AMBER",
"middle_name": "ROSE",
"name_prefix": "Miss",
"credential": "SLP INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-19",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "124129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.