Jordan Catherine Camblin, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030246 Issued in NY

Practice address

205 Yorkshire Rd
Tonawanda, NY 14150-8350

Phone

(716) 876-3901

NPI assigned

Jul 9, 2019

Last updated

Nov 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jordan Catherine Taney Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1861044000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 N BAILEY AVE UNIT 1770",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142266970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 YORKSHIRE RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141508350",
            "telephone_number": "716-876-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "297 Buffalo St Rear",
            "address_purpose": "LOCATION",
            "city": "Hamburg",
            "state": "NY",
            "postal_code": "140755168",
            "country_code": "US",
            "telephone_number": "315-945-1587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMBLIN",
        "first_name": "JORDAN",
        "middle_name": "CATHERINE",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "TANEY",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leighann Buzzard, ATC
• Margaret Mary Bye
• Kerry Byrnes
• Erika Renee Calandra, COTA
• Denise M. Callari, M.D.
• Michael Cammarata
• Shawn Robert Campbell, PA
• Kathleen Veronica Cancemi, M.S.CCC-SLP
• Richard Andrew Carlson Jr, MD
• Keith Walter Cartmill, MD

• Speech-Language Pathologist in Tonawanda, NY
• Providers in Tonawanda, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.