Kirsten Delainey Jorgensen

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

088623 Issued in IA

Practice address

4239 Farnam St Ste 509
Omaha, NE 68131-2879

Phone

(402) 551-7338

Fax

(402) 551-3072

NPI assigned

Aug 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Laboratory of Speech and Language Disorders, Inc.

  • Speech-Language Pathologist
  • Omaha, NE
  • NPI 1124199419
  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1366969453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 FARNAM ST STE 509",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312879",
            "telephone_number": "402-551-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 FARNAM ST STE 509",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312879",
            "telephone_number": "402-551-7338",
            "fax_number": "402-551-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "KIRSTEN",
        "middle_name": "DELAINEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "578",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "088623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Sue Jordan, M.S., CCC-SLP
• Tyshun Jordan
• Diane Elizabeth Jordening
• Olivia Jordening, PLMHP, PCMSW
• Kaili Jorgens, MD
• Leah S Jorgensen, APRN
• Lisa Jorgensen, M.S. CCC-SLP
• Maribeth Frances Jorgensen, PLMHP
• Shannon Jorgensen
• Mary Louise Jorgenson, PA-C

• Speech-Language Pathologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; 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.