ALISA JACKSON - NPI 1255202248 - Speech-Language Pathologist in Charlotte, NC

Q: What is Alisa Jackson's NPI number?

The NPI number for Alisa Jackson is 1255202248. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Q: What is Alisa Jackson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alisa Jackson was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

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About Alisa Jackson NPPES

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

ALISA JACKSON (NPI 1255202248) is an individual speech-language pathologist provider in Charlotte, North Carolina, licensed in North Carolina (30004511) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1255202248

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameALISA JACKSON

Location Address2015 AYRSLEY TOWN BLVD STE 202Charlotte, NC 28273-4068

Mailing Address2015 Ayrsley Town Blvd Ste 202Charlotte, NC 28273-4068 · (704) 750-0675 · Fax (704) 831-5369

Phone(704) 750-0675

Fax(704) 831-5369

Sole ProprietorNo

Enumeration DateSeptember 15, 2025

NPPES CertifiedSeptember 15, 2025

✔ NPI 1255202248 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 · 30004511

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.

2015 AYRSLEY TOWN BLVD STE 202, Charlotte, NC 28273

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