Individual provider Active NPI

Jordan Donahue, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Reno, NV
National Provider Identifier
1437877628
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-2494 Issued in NV
Practice address
2825 Columbus Way
Reno, NV 89503-1848
Phone
(925) 200-3640
NPI assigned
Aug 15, 2022
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP28271 CA
Speech-Language Pathologist 235Z00000X SP-2494 NV Primary

Addresses

Primary practice location

2825 Columbus Way
Reno, NV 89503-1848

Mailing address

2825 Columbus Way
Reno, NV 89503-1848
Phone (925) 200-3640

Other practice location 1

2825 Columbus Way
Reno, NV 89503-1848
Phone (925) 200-3640

Other practice location 2

2825 Columbus Way
Reno, NV 89503-1848
Phone (925) 200-3640

Other practice location 3

2825 Columbus Way
Reno, NV 89503-1848
Phone (925) 200-3640

Other names 1

  • Jordan Bosso Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://room.presencelearning.com/jdonahue PresenceLearning, Inc.

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP28271CAMDSpeech-Language Pathologist
SP-2494NVMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1437877628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 COLUMBUS WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895031848",
            "telephone_number": "925-200-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 COLUMBUS WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895031848",
            "telephone_number": "925-200-3640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 Columbus Way",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895031848",
            "country_code": "US",
            "telephone_number": "925-200-3640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Columbus Way",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895031848",
            "country_code": "US",
            "telephone_number": "925-200-3640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Columbus Way",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895031848",
            "country_code": "US",
            "telephone_number": "925-200-3640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "JORDAN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP28271",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-2494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://room.presencelearning.com/jdonahue",
            "affiliation": "Y",
            "affiliationName": "PresenceLearning, Inc.",
            "address_1": "580 Market St",
            "address_2": "6th Floor",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941045403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "BOSSO",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.