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MRS. TARA MICHELE JACKSON MA, CCC-SLP
NPI 1114973559
Speech-Language Pathologist in Charlotte, NC

Active since May 26, 2006
3403 LINDEN BERRY LN, CHARLOTTE, NC 28269(704) 258-1724(704) 598-3024 Get Directions Write a Review

NPPES record last updated: July 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Tara Michele Jackson Ma, Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TARA MICHELE JACKSON MA, CCC-SLP (NPI 1114973559) is an individual speech-language pathologist provider in Charlotte, North Carolina, licensed in North Carolina (5772) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1114973559
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMRS. TARA MICHELE JACKSONCredential: MA, CCC-SLP
Location Address3403 LINDEN BERRY LNCharlotte, NC 28269-1300
Mailing Address3403 Linden Berry LaneCharlotte, NC 28269-1300 · (704) 898-2437
Phone(704) 258-1724
Fax(704) 598-3024
Sole ProprietorYes
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 2, 2011
✔ NPI 1114973559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NC · 5772
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
3403 LINDEN BERRY LN, Charlotte, NC 28269
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Other Identifiers 1

Medicaid7412438NC

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MICHELLE HUGHES COLLIS MS, CCC-SLP
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 519-7567
CHRISTIE CARSON PT
Physical Therapist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 541-7509
MISS AMY DENISE AUSTIN MS, CCC-SLP
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724
MRS. LINDA ALGER
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724
MARGARET MOORE MS, CCC-SLP
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724
MISS ASHLEY LOUISE PRZYBYSZEWSKI M.A., CCC-SLP
Speech-Language Pathologist
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724
PEDIATRIC THERAPLAY SPEECH SERVICES, INC.
Early Intervention Provider Agency
3403 LINDEN BERRY LN
CHARLOTTE, NC 28269
Mecklenburg County (704) 258-1724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Jackson's NPI number?

The NPI number for Tara Jackson is 1114973559. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Tara Jackson located?

Tara Jackson practices at 3403 Linden Berry Ln, Charlotte, NC 28269. The listed phone number is (704) 258-1724.

What is Tara Jackson's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Tara Jackson was last updated on July 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.