Jordyn Bickham, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101006538 Issued in MI

Practice address

14153 Rick Dr
Shelby Township, MI 48315-2951

Phone

(586) 566-0326

Fax

(586) 566-0573

NPI assigned

Aug 23, 2022

Last updated

Aug 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1932828068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14153 RICK DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152951",
            "telephone_number": "586-566-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14153 RICK DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152951",
            "telephone_number": "586-566-0326",
            "fax_number": "586-566-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKHAM",
        "first_name": "JORDYN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Best Care Medical Equipment, LLC
• Best Practice Rehab, Inc.
• Kathleen Mary Best, OTR
• Bi Med LLC (Advanced Care Medical Supplies)
• Christopher Bialas
• Anthony Rocco Bielkie, DDS
• Matthew Bielkie, DDS
• Nicholas Peter Bielkie, DDS
• Megan Bierer
• Ethan Joseph Biernat

• Speech-Language Pathologist in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.