Active NPI
Stephanie Lynn Jordan, CCC-SLP
- Speech-Language Pathologist
- Winston Salem, NC
National Provider Identifier
1548662067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13131
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13131 | NC | MD | General Practice Dentistry |
| 0000005206 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Speech-Language Pathologist
- Winston Salem, NC
- NPI 1134926611
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
- Janell Lafaye Jordan, LCMHCS
- Kelli Michelle Jordan, LCSW-A, LCAS-A
- Larry Jordan
- Lindsay Ann-Sisco Jordan, M.ED, ATR, LCMHC
- Richard Dean Jordan
- Willardean Carroll Jordandula, DDS
- Johanna Regina Jorizzo, MD
- Joseph Lucius Jorizzo, MD
- Joseph E Bartholomew III DDS PLLC (Gibson & Bartholomew Restorative and Esthetic Dentistry)
- Bradley Scott Joseph
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.