Bianca Michelle Jackson

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

Practice address

16507 Mahogany Dr
Missouri City, TX 77489-3918

Phone

(713) 823-6625

NPI assigned

Jan 17, 2018

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": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1790293264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16507 MAHOGANY DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893918",
            "telephone_number": "713-823-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16507 MAHOGANY DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893918",
            "telephone_number": "713-823-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "BIANCA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J and H Residential Services
• George M Jabbour, DDS
• Natalie Nassif Jabbour, DDS
• Alexandria Jackson, PHARMD
• Antoinette Jackson
• Georonika Jackson, PT
• Janecia Sonyell Jackson, FNP-C
• Lakiffanie Patryce Jackson, APRN-CNP
• Levonika Jackson, NP
• Shelia Scales Jackson

• Speech-Language Assistant in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.