Jordan Renea Boswell

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

38874 Issued in TX

Practice address

105 Westland St
San Angelo, TX 76901-3051

Phone

(325) 340-4025

NPI assigned

Sep 7, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Reeves Rehab

  • Speech-Language Pathologist
  • San Angelo, TX
  • NPI 1255608766
  NPD (past)
• Reeves Rehab

  • Speech-Language Pathologist
  • San Angelo, TX
  • NPI 1396297776
  NPD (past)

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1831646801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTLAND AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76901",
            "telephone_number": "325-340-4020",
            "fax_number": "325-617-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WESTLAND ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013051",
            "telephone_number": "325-340-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "JORDAN",
        "middle_name": "RENEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "38874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY LICENSE",
            "identifier": "38874",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Allen Borgfeld, M. D.
• Christina Borgne, ATC, LAT
• Jessie Lee Boss
• Stephen Ray Boster, MD
• David Louis Boswell Jr., M.D.
• Sherrie Bouissey, ANP
• Donna Merle Boulette, SLP
• Brittany Bourgeois
• William Barrett Bowlin, MD
• Delyn Boyd, OTR

• Speech-Language Assistant in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Speech-Language Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.