Individual provider Active NPI

Jourdan Elizabeth Walker

  • Speech-Language Pathologist
  • Fairfax, VA
National Provider Identifier
1669028577
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202009762 Issued in VA
Practice address
8270 Willow Oaks Corporate Dr Ste 2127
Fairfax, VA 22031-4511
Phone
(571) 423-4171
NPI assigned
Aug 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 121003 TX
Speech-Language Pathologist 235Z00000X SLP200001194 DC
Speech-Language Pathologist 235Z00000X 2202009762 VA Primary

Addresses

Primary practice location

8270 Willow Oaks Corporate Dr Ste 2127
Fairfax, VA 22031-4511

Mailing address

13147 Marcey Creek Rd
Herndon, VA 20171-4801
Phone (443) 686-2380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, DC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241210001129 TX Practitioner - Qualified Speech Language Pathologist 7810423167 Reassigns benefits to 1 organization
I20241211001188 DC Practitioner - Qualified Speech Language Pathologist 7810423167 Reassigns benefits to 1 organization
I20250127000346 VA Practitioner - Qualified Speech Language Pathologist 7810423167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

Practice addresses (Care Compare)

204 E Cano St
Edinburg, TX 78539-4510
Phone (512) 377-6318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Feb 1, 2025 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Feb 1, 2025 Accepting new patients

Locations

633 W 5th St
Ofc 2876B
Los Angeles, CA 90071

1140 3rd St NE
Washington, DC 20002
Phone (202) 935-1033

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880

3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702

204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

10432 Balls Ford Rd
Ste 300
Manassas, VA 20109
Phone (571) 229-8708

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1669028577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13147 MARCEY CREEK RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714801",
            "telephone_number": "443-686-2380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 WILLOW OAKS CORPORATE DR STE 2127",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314511",
            "telephone_number": "571-423-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "JOURDAN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "121003",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "DC",
            "license": "SLP200001194",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202009762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.