Active NPI
Jordan Walsh
- Speech-Language Pathologist
- Murfreesboro, TN
National Provider Identifier
1902547722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8340
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8340 | TN | MD | Social Worker |
| 105447800 | FL | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jones Therapy Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Kelly Mingus Speech Pathology LLC | Past | 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.
-
- Pediatric Rehabilitation Medicine Physician
- Murfreesboro, TN
- NPI 1811213556
Speech-Language Pathologist
-
- Hearing and Speech Clinic/Center
- Franklin, TN
- NPI 1215409776
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.