Individual provider Active NPI

Stephanie Lynn Jordan, CCC-SLP

  • Speech-Language Pathologist
  • Winston Salem, NC
National Provider Identifier
1548662067
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13131 Issued in NC
Practice address
2594 Reynolda Rd Ste B
Winston Salem, NC 27106-4601
Phone
(336) 517-7965
Fax
(336) 217-8811
NPI assigned
Sep 16, 2014
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 13131 NC Primary

Addresses

Primary practice location

2594 Reynolda Rd Ste B
Winston Salem, NC 27106-4601

Mailing address

2594 Reynolda Rd Ste B
Winston Salem, NC 27106-4601
Phone (336) 517-7965

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

State licenses

LicenseStateTypeSpecialty
13131NCMDGeneral Practice Dentistry
0000005206TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Engage Speech and Language Therapy Services Speech-Language Pathologist Current Accepting new patients

Locations

2594 Reynolda Rd
Ste B
Winston Salem, NC 27106

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1548662067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 REYNOLDA RD STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064601",
            "telephone_number": "336-517-7965",
            "fax_number": "336-217-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 REYNOLDA RD STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064601",
            "telephone_number": "336-517-7965",
            "fax_number": "336-217-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.