Rachel Jackson, M.A. CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2018718-SP Issued in OH

Practice address

4700 Massillon Rd
North Canton, OH 44720-1166

Phone

(330) 896-9119

NPI assigned

Mar 27, 2019

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Community Speech Services, Inc

  • Speech-Language Pathologist
  • North Canton, OH
  • NPI 1609963545
  NPD (past)
• Swallowing and Speech Solutions, LLC

  • Speech-Language Pathologist
  • Uniontown, OH
  • NPI 1326795345
  NPD (past)
• Walter Wolosiansky

  • Audiologist
  • North Canton, OH
  • NPI 1194834143
  NPD (past)

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1992266571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 667",
            "city": "GREEN",
            "state": "OH",
            "postal_code": "442320667",
            "telephone_number": "330-896-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 MASSILLON RD",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201166",
            "telephone_number": "330-896-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "M.A. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "2018718-SP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J&C Ambulance Service, Inc.
• Jackson Family Practice, Inc.
• Cindy L Jackson, LPTA
• Kimberly M Jackson
• Merilyn Jackson
• Serena Jacobs, LPTA
• Jeri Jahn, OTR
• Corinne S Jakes, PT
• James P Raymondi, OD, Inc
• Adrienne L James, CCC-SLP

• Speech-Language Pathologist in North Canton, OH
• Providers in North Canton, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; 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.