Teklyn Sarahn Jackson-Davis, MS, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5079 Issued in KS

Practice address

3101 Main St
Kansas City, MO 64111-1921

Phone

(816) 841-2284

NPI assigned

May 4, 2022

Last updated

May 4, 2022By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Center for the Visually Impaired

  • Developmentally Disabled Services Day Training Agency
  • Kansas City, MO
  • NPI 1023136165
  NPD

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1720723570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 W 64TH TER APT 305",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662033375",
            "telephone_number": "806-928-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 MAIN ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641111921",
            "telephone_number": "816-841-2284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10000 W 75th St Ste 25",
            "address_purpose": "LOCATION",
            "city": "Merriam",
            "state": "KS",
            "postal_code": "662042209",
            "country_code": "US",
            "telephone_number": "913-362-7518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON-DAVIS",
        "first_name": "TEKLYN",
        "middle_name": "SARAHN",
        "credential": "MS, SLP-CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2021005569",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "5079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Jack
• Jackel Counseling Services, LLC
• Jackson County, Missouri
• Jackson Family Dental LLC
• Jackson Style Group Home (Jackson Style Agency)
• Jennifer J Jackson-Rice, LCSW
• Angela Gregory Jackson, LCSW
• Aniika Richann Jackson, DDS
• Anthony Earle Jackson
• Brandi L Jackson, DPT

• Speech-Language Pathologist in Kansas City, MO
• Providers in Kansas City, 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 May 4, 2022; 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.