Active NPI
Danielle Nicole Jordan, S.L.P.
- Speech-Language Pathologist
- Claremore, OK
National Provider Identifier
1891005237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3669
- Practice address
- 1071 W Blue Starr Dr
Claremore, OK 74017-2868 - Phone
- (918) 341-4343
- Fax
- (918) 341-8687
- NPI assigned
- Oct 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3669 | OK | Primary |
Addresses
Primary practice location
1071 W Blue Starr Dr
Claremore, OK 74017-2868
Mailing address
1071 W Blue Starr Dr
Claremore, OK 74017-2868
Phone (918) 341-4343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111020000468 | OK | Practitioner - Qualified Speech Language Pathologist | 0648442491 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3669 | OK | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287446400000",
"number": "1891005237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1071 W BLUE STARR DR",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740172868",
"telephone_number": "918-341-4343",
"fax_number": "918-341-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 W BLUE STARR DR",
"city": "CLAREMORE",
"state": "OK",
"postal_code": "740172868",
"telephone_number": "918-341-4343",
"fax_number": "918-341-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "DANIELLE",
"middle_name": "NICOLE",
"credential": "S.L.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-19",
"last_updated": "2010-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OK",
"license": "3669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Claremore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.