Jordan Florencia Wilm, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6499 Issued in TN

Practice address

10721 Chapman Hwy Ste 22
Seymour, TN 37865-4767

Phone

(865) 579-2293

Fax

(865) 579-2295

NPI assigned

May 15, 2019

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

Other names 1

• Miss Jordan Florencia Hill Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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

• CBM Speech Pathology Services, LLC

  dba Moser Speech

  • Speech-Language Pathologist
  • Seymour, TN
  • NPI 1326310582
  NPD (past)

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1629634621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10721 CHAPMAN HWY STE 22",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654767",
            "telephone_number": "865-579-2293",
            "fax_number": "865-579-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 CHAPMAN HWY STE 22",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378654767",
            "telephone_number": "865-579-2293",
            "fax_number": "865-579-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILM",
        "first_name": "JORDAN",
        "middle_name": "FLORENCIA",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "6499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "HILL",
            "middle_name": "FLORENCIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Julia Ann Wells, MA, CCC-SLP
• Robert E White III, PA-C
• Kasey L Wilson, LDO
• Desiree Shanice Woodle, M.ED.
• Lisa S Woodson, APRN
• Monica Anne Wright, APRN, FNP-C, PMHNP-C
• Sarah Ann Wu, APN

• Speech-Language Pathologist in Seymour, TN
• Providers in Seymour, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.