NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mrs. Tara Michele Jackson, MA, CCC-SLP

Speech-Language Pathologist in Charlotte, NC · enumerated 2006 · practices at Pediatric Theraplay Speech Services, Inc..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114973559

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Registry record

Entity type Individual (Type 1)
Name Mrs. Tara Michele Jackson
Credential MA, CCC-SLP
Sex Female
Practice address Charlotte, NC, 28269
Fax (704) 598-3024
Enumeration date May 26, 2006
Last updated in NPPES Jul 2, 2011

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers · License 5772 (NC) Primary

Other identifiers

Identifier Type State Issuer
7412438 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is NPI 1114973559 active?
Yes, as of the latest NPPES snapshot, NPI 1114973559 is active (record last updated 2011-07-02).
How do I verify Tara Jackson's NPI record?
Cross-check NPI 1114973559 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-02.