Laura Jordan, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL 60695030 Issued in WA

Practice address

3120 Ridgeview CT SW
Tumwater, WA 98512-6373

Phone

(360) 709-7300

NPI assigned

Oct 25, 2016

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1376095307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 RIDGEVIEW CT SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985126373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 RIDGEVIEW CT SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985126373",
            "telephone_number": "360-709-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "LAURA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL 60695030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Johnson
• Shana Johnson, MD
• Jessy Wayne Johnston, LMT
• Roger James Jones, BA
• Gina Jordan, LMHCA
• Joseph Y. de Jesus, DDS, PS
• Joseph Y. de Jesus, DDS, PS
• Bansuk Ju, DDS
• Juergens Chiropractic , LLC
• Christopher Juergens, D.C.

• Speech-Language Pathologist in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.