Jordan Mackenzee Phipps, BS

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

600 N Main St Ste 200
Woodstock, VA 22664-1855

Phone

(540) 459-6222

NPI assigned

Jul 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor 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.

• Shenandoah County Public Schools

  • Local Education Agency (LEA)
  • Woodstock, VA
  • NPI 1780865816
  NPD (past)

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1639803083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MAIN ST",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MAIN ST STE 200",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641855",
            "telephone_number": "540-459-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "JORDAN",
        "middle_name": "MACKENZEE",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phippsjm@jmu.edu",
            "affiliation": "N",
            "endpointDescription": "University Email",
            "address_1": "800 S Main St",
            "city": "Harrisonburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228070001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• One Heart Medical PLLC
• Stephen F Palmerton, CRNA
• George L Phillips, MD
• Susan Phillips, PT
• Ria Philpott, PA-C
• Patricia Darlene Pine
• Joan Manuel Pino, D.D.S.
• Melinda Plauger
• Elisabeth Thompson Provenzano, RPH
• Richard J Provenzano, LCSW

• School Psychologist in Woodstock, VA
• Providers in Woodstock, VA by specialty
• School Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.