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Active NPI 1720493224 Individual Practitioner Female Practitioner

Lisa Nicole Jackson , BA SLPA

Specialist/Technologist - Speech-Language Assistant • Tyler, TX

Professional Overview & Biography Verified Profile Summary

Lisa Jackson, BA SLPA is a registered healthcare professional specializing in Specialist/Technologist - Speech-Language Assistant in Tyler, TX. Practice services are available at 3200 TROUP HWY STE, 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3200 Troup Hwy Ste, 120

Tyler, TX 75701

Telephone 9032530095

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Speech-Language Assistant in Tyler, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
75 Specialists

Practicing in Tyler, TX (3463 Statewide)

Telehealth Adoption Rate
0.0% 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

Specialist/Technologist - Speech-Language Assistant Primary Specialty

NUCC Taxonomy Code: 2355S0801X

State License TX 37923

Definition to come...

Practice Associates & Co-Workers

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

4 Associated Practitioners
Kristen Pinkston

Speech-Language Pathologist

NPI 1164837613
April Kruger , COTA

Occupational Therapy Assistant

NPI 1366833238

Certified Occupational Therapy Assistant

Pegan Johnson , MS, CCC-SLP

Speech-Language Pathologist

NPI 1609288414

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Blake Sanca , COTA

Occupational Therapy Assistant

NPI 1689091498

Certified Occupational Therapy Assistant

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2014

Registered at 3200 TROUP HWY STE, 120, TYLER, TX 75701 (Tel: 9032530095)

📍
Updated Business Mailing Address June 24, 2014

Registered at 3200 TROUP HWY STE 120, TYLER, TX 757018364 (Tel: 9032530095)

👤
Provider Name / Credentials Updated June 24, 2014

Recorded as LISA JACKSON, B.A. SLPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2014

Specialist/Technologist (License #37923 in TX)

🟢
Initial NPI Registration & Enumeration June 24, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720493224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2014
Last Update: June 24, 2014
Sole Proprietor: Yes

Mailing Address

3200 Troup Hwy Ste 120

Tyler, TX 757018364

Phone: 9032530095

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.