Jordan Shawn Goodman, M.A.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA15856 Issued in FL

Practice address

301 S Tubb St Ste A1
Oakland, FL 34760

Phone

(407) 395-9976

NPI assigned

May 26, 2016

Last updated

May 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Metamorphosis Therapy, LLC

  • Speech-Language Pathologist
  • Winter Garden, FL
  • NPI 1942519103
  NPD (past)

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1992153373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 MORNINGSIDE DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327573628",
            "telephone_number": "352-638-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S TUBB ST STE A1",
            "city": "OAKLAND",
            "state": "FL",
            "postal_code": "34760",
            "telephone_number": "407-395-9976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2760 Dora Ave",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784970",
            "country_code": "US",
            "telephone_number": "352-742-7837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JORDAN",
        "middle_name": "SHAWN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ7530",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ashley Farr, MS, CF-SLP
• Maja Ann Florentine, OTR/L
• Florida Healthcare Advocates, LLC
• Jeffrey D Gill, LCSW
• Renee Goehring
• Cheryl Mae Lozano Granada, OTD, OTR/L
• Paige Bari Hauser, OTR/L
• Isobel Haynes
• Judy Hsu, DDS
• Tiffany Holly James, COTA

• Speech-Language Pathologist in Oakland, FL
• Providers in Oakland, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.