Jordan Marie Schroeder

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA-12560 Issued in AZ

Practice address

3160 Stillwater Dr
Prescott, AZ 86305-7151

Phone

(928) 776-9285

NPI assigned

Apr 18, 2024

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 names 1

• Jordan Marie Bernhardt Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• High Country Early Intervention Inc

  • Home Health Agency
  • Prescott, AZ
  • NPI 1144332107
  NPD

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1922853472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 TAFT AVE",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235758",
            "telephone_number": "928-830-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 STILLWATER DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057151",
            "telephone_number": "928-776-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "JORDAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA-12560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "BERNHARDT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallorie G. Schmidt
• Terra Dawn Schmidt, ATC/LAT
• David Schmuckler, L.C.S.W.
• Chrystal D Schoeder, PHD
• Janet Schoen, CNS
• Tracy Schrunk, LCSW
• John M Schuderer, LISAC LPC
• Mathew Schuh
• Janette Schulz, LMSW
• Kara Schumann, LPC

• Speech-Language Assistant in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.