Active NPI
Jordan Eaton, SLP
- Speech-Language Pathologist
- MC Lean, VA
National Provider Identifier
1992260780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202012658
- Practice address
- 977 Balls Hill Rd
MC Lean, VA 22101-2020 - Phone
- (703) 442-5800
- NPI assigned
- Feb 5, 2019
- 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 | 2202012658 | VA | Primary |
Addresses
Primary practice location
977 Balls Hill Rd
MC Lean, VA 22101-2020
Mailing address
977 Balls Hill Rd
MC Lean, VA 22101-2020
Phone (703) 442-5800
Other practice location 1
7000 Cindy Ln
Annandale, VA 22003-5900
Phone (703) 813-3800
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 |
|---|---|---|---|
| 03222L | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Speech Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Metro Occupational Therapy LLC | Current | Accepting new patients |
Locations
800 S Frederick Ave
Ste 101
Gaithersburg, MD 20877
Phone (240) 200-5305
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.
-
- Occupational Therapist
- Gaithersburg, MD
- NPI 1619628641
-
- Speech-Language Pathologist
- Gaithersburg, MD
- NPI 1336696079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1992260780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 BALLS HILL RD",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221012020",
"telephone_number": "703-442-5800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "977 BALLS HILL RD",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221012020",
"telephone_number": "703-442-5800"
}
],
"practiceLocations": [
{
"address_1": "7000 Cindy Ln",
"address_purpose": "LOCATION",
"city": "Annandale",
"state": "VA",
"postal_code": "220035900",
"country_code": "US",
"telephone_number": "703-813-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EATON",
"first_name": "JORDAN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202012658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.