Carmen S Jordan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.007060 Issued in IL

Legal business name

CARMEN S JORDAN

Practice address

1102 18TH St
Rockford, IL 61104-3422

Phone

(815) 978-5181

NPI assigned

Mar 2, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Carmen S Jordan, CCC-SLP

Title

Owner

Phone

(815) 978-5181

Specialties & licenses 2

Addresses

Other names 1

• Core Speech Pathology Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea S. Nash, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lindale, TX
  • NPI 1538474747
  NPD (past)

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1437423878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 18TH ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611043422",
            "telephone_number": "815-978-5181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 18TH ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611043422",
            "telephone_number": "815-978-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN S JORDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-978-5181",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.007060",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "CJ05640701P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Speech Pathology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madeline Carlson, PHARMD
• Mark Edwin Carlson, MD
• Nancy J. Carlson, MD
• Samantha Rae Carlson, APRN, FNP-BC
• Tammy L Carlson, APRN
• Dawn Marie Carmichael, MSED, LCPC
• Ameshia Nicole Carpenter
• Patricia Ann Carpenter
• Cheyenne Elizabeth Carr
• Francisco Carrion, MD

• Speech-Language Pathologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.