Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528333143 Individual Practitioner Female Practitioner

Kandice Jackson

Speech-Language Pathologist • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Kandice Jackson is a registered healthcare professional specializing in Speech-Language Pathologist in Dallas, TX. Practice services are available at 6301 GASTON AVE STE 750 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6301 Gaston Ave Ste 750

Dallas, TX 752143922

Telephone 2142955374
Associated Practice Facility / Clinic
🏢 Mockingbird Capital Llc Facility NPI 1487895322

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
960 Specialists

Practicing in Dallas, TX (17210 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 114858

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License CA 7315

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Bryan Sheffield , PT, DPT

Physical Therapist - Pediatrics

NPI 1003476151

Physical Therapist, Doctor of Physical Therapy

Lesley Ramirez

Occupational Therapist - Pediatrics

NPI 1013883859
Ricki Graham , PT

Physical Therapist - Pediatrics

NPI 1043841810

Physical Therapist

Erica Martinez , SLP-ASSISTANT

Specialist/Technologist - Speech-Language Assistant

NPI 1114430691

SLPASSISTANT

Keli Day , OTR

Occupational Therapist

NPI 1114430733

Occupational Therapist Registered

Mariem Qamruzzaman

Speech-Language Pathologist

NPI 1114483757

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location January 23, 2019

Registered at 6301 GASTON AVE STE 750, DALLAS, TX 752143922 (Tel: 2142955374)

📍
Updated Business Mailing Address January 23, 2019

Registered at 1071 LAKE CAROLYN PKWY APT 4082, IRVING, TX 750394874 (Tel: 9497024195)

NPI Profile Active March 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 15, 2012

Registered at 26284 OSO RD STE 114, SAN JUAN CAPISTRANO, CA 926751629 (Tel: 9498429557)

📍
Updated Business Mailing Address March 15, 2012

Registered at 28401 LOS ALISOS BLVD APT 6305, MISSION VIEJO, CA 926925956

👤
Provider Name / Credentials Updated March 15, 2012

Recorded as KANDICE JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2012

Speech-Language Pathologist (License #7315 in CA)

🟢
Initial NPI Registration & Enumeration March 15, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1528333143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2012
Last Update: January 23, 2019
Sole Proprietor: Yes

Mailing Address

1071 Lake Carolyn Pkwy Apt 4082

Irving, TX 750394874

Phone: 9497024195

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.