Active NPI
Sarah Jordan
- Speech-Language Pathologist
- Fargo, ND
National Provider Identifier
1033637897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8635
- Practice address
- 2829 University Dr S Ste 202
Fargo, ND 58103-6050 - Phone
- (701) 478-7868
- Fax
- (701) 356-7005
- NPI assigned
- Aug 31, 2017
- Last updated
- Aug 31, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8635 | ND | Primary |
Addresses
Primary practice location
2829 University Dr S Ste 202
Fargo, ND 58103-6050
Mailing address
309 Washington Ave
Ortonville, MN 56278-1357
Phone (320) 839-4090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8635 | ND | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504137600000",
"number": "1033637897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 WASHINGTON AVE",
"city": "ORTONVILLE",
"state": "MN",
"postal_code": "562781357",
"telephone_number": "320-839-4090",
"fax_number": "320-839-4196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 UNIVERSITY DR S STE 202",
"city": "FARGO",
"state": "ND",
"postal_code": "581036050",
"telephone_number": "701-478-7868",
"fax_number": "701-356-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "SARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-31",
"last_updated": "2017-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": "8635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.