Individual provider Active NPI

Caroline Christine Jordan, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Battle Creek, MI
National Provider Identifier
1144062696
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101008580 Issued in MI
Practice address
395 S Shore Dr Ste 310
Battle Creek, MI 49014-5466
Phone
(269) 660-1025
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101008580 MI Primary

Addresses

Primary practice location

395 S Shore Dr Ste 310
Battle Creek, MI 49014-5466

Mailing address

5040 Coopers Landing Dr Apt 2C
Kalamazoo, MI 49004-6646
Phone (269) 276-6212

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7101008580MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Speech LLC Speech-Language Pathologist CurrentSince Jun 9, 2024 Accepting new patients

Locations

395 S Shore Dr
Ste 310
Battle Creek, MI 49014
Phone (269) 660-1025

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1144062696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 COOPERS LANDING DR APT 2C",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490046646",
            "telephone_number": "269-276-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 S SHORE DR STE 310",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490145466",
            "telephone_number": "269-660-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CAROLINE",
        "middle_name": "CHRISTINE",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101008580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.