Active NPI
Courtney Jordan, SLPA
- Speech-Language Assistant
- Milbridge, ME
National Provider Identifier
1164098562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SAS3441
- Practice address
- 4 School St Ste 2
Milbridge, ME 04658-3542 - Phone
- (207) 546-2880
- NPI assigned
- May 27, 2021
- Last updated
- Jan 31, 2025
- 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 Assistant | 2355S0801X | SAS3441 | ME | Primary |
Addresses
Primary practice location
4 School St Ste 2
Milbridge, ME 04658-3542
Mailing address
598 N Bend Rd
Surry, ME 04684-3322
Phone (207) 479-9970
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SAS3441 | ME | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The O.T. Spot, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1164098562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "598 N BEND RD",
"city": "SURRY",
"state": "ME",
"postal_code": "046843322",
"telephone_number": "207-479-9970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 SCHOOL ST STE 2",
"city": "MILBRIDGE",
"state": "ME",
"postal_code": "046583542",
"telephone_number": "207-546-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "COURTNEY",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "ME",
"license": "SAS3441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milbridge, ME
- Down East Community Hospital (Milbridge Medical Center)
- Brenda Mary Duggan, RN
- Pam Dyer Stewart, C.P.M.
- Nicole K Galante, DC
- Mason Douglas Jipson
- Mary Christine Kuhni, FNP
- Erin Alicia Leighton, OTR/L
- Cathleen Greenberg London, M.D.
- Mason Douglas Jipson (Bold Coast Home Care Agency)
- Milbridge Pharmacy Inc (Milbridge Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.