Diane Jordan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101001925 Issued in MI

Practice address

1955 Pauline Blvd
Ste 100C
Ann Arbor, MI 48103-5003

Phone

(734) 769-0505

Fax

(734) 769-0797

NPI assigned

Apr 17, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429228800000",
    "number": "1699162602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 PAULINE BLVD",
            "address_2": "STE 100C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48103",
            "telephone_number": "734-769-0505",
            "fax_number": "734-769-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 PAULINE BLVD",
            "address_2": "STE 100C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035003",
            "telephone_number": "734-769-0505",
            "fax_number": "734-769-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DIANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101001925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Kay Jonides, RN CPNP
• Joanne Jonna
• Sarah Jayne Jonovich, PH.D.
• Catherine Joppich, RDN
• Ariel Jordan, MD
• Elizabeth Jordan, PH.D.
• Gina Y Jordan, MD
• Jessica E Jordan, PA-C
• Myles David Jordan, PA
• Phoebe Jordan, PHD

• Speech-Language Pathologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.