Active NPI
Jordan Leann Durbin, MA
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1972208106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 14321042
- Practice address
- 5900 Balcones Dr Ste 100
Austin, TX 78731-4298 - Phone
- (469) 225-3536
- NPI assigned
- Apr 5, 2023
- 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 | 14321042 | TX | Primary |
Addresses
Primary practice location
5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Mailing address
17350 State Highway 249 Ste 220
Houston, TX 77064-1132
Phone (469) 225-3536
Other practice location 1
5805 Coit Rd Ste 203
Plano, TX 75093-6990
Phone (972) 964-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16040485 | Other | TX | CAQH |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14321042 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rooted in Learning, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Princeton Independent School District | Past | Accepting new patients | |
| Children'S Language Development Center | Speech-Language Pathologist | Past | Accepting new patients |
Locations
5900 Balcones Dr
Ste 100
Austin, TX 78731
17350 State Highway 249
Ste 220
Houston, TX 77064
Phone (817) 386-9498
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1669252094
-
- Speech-Language Pathologist
- Plano, TX
- NPI 1619162849
-
- Local Education Agency (LEA)
- Princeton, TX
- NPI 1225698731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1972208106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17350 STATE HIGHWAY 249 STE 220",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770641132",
"telephone_number": "469-225-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314298",
"telephone_number": "469-225-3536"
}
],
"practiceLocations": [
{
"address_1": "5805 Coit Rd Ste 203",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750936990",
"country_code": "US",
"telephone_number": "972-964-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURBIN",
"first_name": "JORDAN",
"middle_name": "LEANN",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-05",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "14321042",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "16040485",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.