Active NPI
Holly Maria Jordan, MSR, CCC-SLP
- Speech-Language Pathologist
- Savannah, GA
National Provider Identifier
1972777258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP006417
- Practice address
- 351 Wilmington Island Rd
Savannah, GA 31410-3851 - Phone
- (912) 898-9711
- NPI assigned
- Apr 17, 2008
- 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 | SLP006417 | GA | Primary |
Addresses
Primary practice location
351 Wilmington Island Rd
Savannah, GA 31410-3851
Mailing address
6 River Walk
Savannah, GA 31410-1563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLP006417 | Other | GA | SLP STATE BOARD |
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 |
|---|---|---|---|
| SLP006417 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208390400000",
"number": "1972777258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 RIVER WALK",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314101563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 WILMINGTON ISLAND RD",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314103851",
"telephone_number": "912-898-9711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "HOLLY",
"middle_name": "MARIA",
"credential": "MSR, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-17",
"last_updated": "2008-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP006417",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLP STATE BOARD",
"identifier": "SLP006417",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.