Individual provider Active NPI

Jordan N Devries, CCC-SLP

  • Speech-Language Pathologist
  • Marshfield, MO
National Provider Identifier
1669037073
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2024008280 Issued in MO
Practice address
170 State Highway DD
Marshfield, MO 65706-1513
Phone
(417) 859-2120
NPI assigned
May 1, 2019
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 2024008280 MO Primary

Addresses

Primary practice location

170 State Highway DD
Marshfield, MO 65706-1513

Mailing address

170 State Highway DD
Marshfield, MO 65706-1513
Phone (417) 859-2120

Other names 1

  • Jordan N Miller Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
709NEMDOccupational Therapist
2024008280MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshfield R-1 School District CurrentSince Sep 8, 2025 Accepting new patients
Marshfield R-1 School District PastSince Sep 8, 2025 Accepting new patients

Locations

170 State Highway DD
Marshfield, MO 65706
Phone (417) 859-2120

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, 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": "1556668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1669037073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 STATE HIGHWAY DD",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657061513",
            "telephone_number": "417-859-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 STATE HIGHWAY DD",
            "city": "MARSHFIELD",
            "state": "MO",
            "postal_code": "657061513",
            "telephone_number": "417-859-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVRIES",
        "first_name": "JORDAN",
        "middle_name": "N",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-01",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2024008280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "MILLER",
            "middle_name": "N",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marshfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.