Active NPI
Tracy Jordan, CCC-SLP
- Speech-Language Pathologist
- Franconia, NH
National Provider Identifier
1255720199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP2250
- Practice address
- 1095 Profile Rd
Franconia, NH 03580-4938 - Phone
- (603) 823-8600
- NPI assigned
- Jan 15, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3214 | NH | |
| Speech-Language Pathologist | 235Z00000X | SP2250 | ME | Primary |
Addresses
Primary practice location
1095 Profile Rd
Franconia, NH 03580-4938
Mailing address
95 Edencroft Rd
Littleton, NH 03561-4417
Phone (802) 535-2471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250609001880 | NH | Practitioner - Qualified Speech Language Pathologist | 7810407962 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3214 | NH | MD | Pediatric Dentist |
| SP2250 | ME | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Littleton Hospital Association | Current | Accepting new patients | |
| Littleton Hospital Association | Current | Accepting new patients | |
| Littleton Hospital Association | Current | Accepting new patients | |
| Southern Maine Chidlren'S Academy, LLC | Past | Accepting new patients | |
| Southern Maine Speech & Language Services, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
1095 Profile Rd
Franconia, NH 03580
Phone (603) 823-8600
600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000
580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385
Organizations & group practices 5
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.
-
- Durable Medical Equipment & Medical Supplies
- Littleton, NH
- NPI 1174398846
-
- Rural Health Clinic/Center
- Littleton, NH
- NPI 1811944523
-
- Community/Behavioral Health Agency
- Windham, ME
- NPI 1275978769
-
- Speech-Language Pathologist
- Windham, ME
- NPI 1386886323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1255720199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 EDENCROFT RD",
"city": "LITTLETON",
"state": "NH",
"postal_code": "035614417",
"telephone_number": "802-535-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 PROFILE RD",
"city": "FRANCONIA",
"state": "NH",
"postal_code": "035804938",
"telephone_number": "603-823-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "TRACY",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-15",
"last_updated": "2025-06-02",
"certification_date": "2025-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NH",
"license": "3214",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ME",
"license": "SP2250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Franconia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.