Individual provider Active NPI

Jordan Walsh

  • Speech-Language Pathologist
  • Murfreesboro, TN
National Provider Identifier
1902547722
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8340 Issued in TN
Practice address
855 W College St Ste F
Murfreesboro, TN 37129-2762
Phone
(615) 614-8833
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X 105447800 FL
Speech-Language Pathologist 235Z00000X 8340 TN Primary

Addresses

Primary practice location

855 W College St Ste F
Murfreesboro, TN 37129-2762

Mailing address

1307 Westlawn Blvd Apt 218
Murfreesboro, TN 37128-1808
Phone (321) 537-4826

Other practice location 1

3343 Aspen Grove Dr Ste 240
Franklin, TN 37067-2921
Phone (615) 651-4833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8340TNMDSocial Worker
105447800FLMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Therapy Services LLC Speech-Language Pathologist CurrentSince Jun 16, 2024 Accepting new patients
Kelly Mingus Speech Pathology LLC PastSince Jul 1, 2023 Accepting new patients

Locations

4513 Hixson Pike
Hixson, TN 37343
Phone (423) 922-7658

855 W College St
Ste F
Murfreesboro, TN 37129
Phone (615) 426-2046

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1902547722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WESTLAWN BLVD APT 218",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371281808",
            "telephone_number": "321-537-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 W COLLEGE ST STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292762",
            "telephone_number": "615-614-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3343 Aspen Grove Dr Ste 240",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370672921",
            "country_code": "US",
            "telephone_number": "615-651-4833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "105447800",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "8340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.