Jordan Driskill Harris, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202007534 Issued in VA

Practice address

5501 Conduit Rd
Colonial Heights, VA 23834-2121

Phone

(804) 524-3440

NPI assigned

Oct 15, 2021

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1760145809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HERON RUN DR",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342188",
            "telephone_number": "804-691-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 CONDUIT RD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342121",
            "telephone_number": "804-524-3440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Dale Ave",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238341421",
            "country_code": "US",
            "telephone_number": "804-524-3430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JORDAN",
        "middle_name": "DRISKILL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michele Harris, ED.S
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• Megan Sinclair Harvey, FNP-C
• Health & Home Caregivers LLC
• Healthyminds, Inc.

• Speech-Language Pathologist in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.