Individual provider Active NPI

Brooke Reilly Jordan

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1982580932
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-4304 Issued in NV
Practice address
555 N Maryland Pkwy
Las Vegas, NV 89101-3133
Phone
(702) 789-7282
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X
Speech-Language Pathologist 235Z00000X SP-4304 NV Primary

Addresses

Primary practice location

555 N Maryland Pkwy
Las Vegas, NV 89101-3133

Mailing address

10819 Maltese Falcon Ave
Las Vegas, NV 89129-3234

Other practice location 1

10819 Maltese Falcon Ave
Las Vegas, NV 89129-3234
Phone (661) 425-4094

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

LicenseStateTypeSpecialty
SP-4304NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Behavioral Services LLC Speech-Language Pathologist CurrentSince Aug 25, 2025 Accepting new patients
Aspire Behavioral Services LLC Speech-Language Pathologist CurrentSince Aug 25, 2025 Accepting new patients

Locations

555 N Maryland Pkwy
Las Vegas, NV 89101
Phone (702) 265-8436

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.

NPI Registry JSON

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1982580932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10819 MALTESE FALCON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891293234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891013133",
            "telephone_number": "702-789-7282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10819 Maltese Falcon Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891293234",
            "country_code": "US",
            "telephone_number": "661-425-4094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BROOKE",
        "middle_name": "REILLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-4304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.