Jan Rochelle Jordan, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12085263 Issued in SD

Practice address

1985 Stadium Dr
Sheridan, WY 82801-6728

Phone

(307) 752-0282

NPI assigned

May 20, 2008

Last updated

May 20, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Independence Rehab LLCGroup PAC ID 0143478453, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Independence Rehab, LLC

  • Physical Therapist
  • Provo, UT
  • NPI 1063781813

  Speech-Language Pathologist, WY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1154588838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 STADIUM DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016728",
            "telephone_number": "307-752-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 STADIUM DR",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016728",
            "telephone_number": "307-752-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JAN",
        "middle_name": "ROCHELLE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SD",
            "license": "12085263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jolley-Schafer
• Colleen E Jones, RPH
• Corey Payton Jones, D.C.
• Heather Janelle Jones, RN
• Tracy Lynn Jons, PA-C
• Lisa L Jordan, MSW, LCSW
• Corey Jost, MD
• Joywealth Clinic LLC
• Beverly Jean Julian, RN
• K2 Foot Services LLC

• Speech-Language Pathologist in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.