JORDAN BERRY (NPI# 1245528603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245528603 |
| Entity Type | Individual |
| Full Name | JORDAN BERRY |
| Credential | AUD |
| Practice Address |
9 N Water Street Ste 107 Sapulpa OK 74066 |
| Mailing Address |
9 N Water St Ste 107 Sapulpa OK 74066-2819 |
| Practice Telephone | 9182245400 |
| Practice Fax Number | 9185126443 |
| Mailing Telephone | 9182245400 |
| Mailing Fax Number | 9185126443 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | OK | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | LICENSE | 3470 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255941225 | Jordan Berry | Social Worker | 401 W Baseline Rd Ste 210, Tempe, AZ 85283-5350 | 2020-08-05 |
| 1386145415 | Jordan Berry | Physical Medicine & Rehabilitation | 6678 Clark Rd, Paradise, CA 95969-2861 | 2018-02-23 |
| 1891145975 | Jordan Berry | Dental Hygienist | 209 N Missouri St, Macon, MO 63552-2151 | 2016-06-20 |
| 1588025324 | Jordan Anthony Berry | Dentist | 675 Wachesaw Rd Unit C, Murrells Inlet, SC 29576-5681 | 2016-03-07 |
| Street Address |
9 N WATER STREET STE 107 |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326465493 | Jessica Macdonald | Speech-Language Pathologist | 9171 Freedom Rd, Sapulpa, OK 74066-2108 | 2014-03-26 |
| 1548548472 | Leah K Gruns | Speech-Language Pathologist | 511 E Lee Ave, Sapulpa, OK 74066-4308 | 2011-07-26 |
| 1891087862 | Jodi Patrice Crutchfield | Speech-Language Pathologist | 3704 W 106th St S, Sapulpa, OK 74066-1627 | 2011-05-10 |
| 1558538843 | Teresa Boness | Speech-Language Pathologist | 1107 E Cobb Ave, Sapulpa, OK 74066-2403 | 2008-05-15 |
| 1134315153 | Anna Lee Lamers | Speech-Language Pathologist | 9 N Water St Ste 107, Sapulpa, OK 74066-2820 | 2007-09-24 |
| 1730219056 | Marla A. Warwick | Speech-Language Pathologist | 9 N Water St, Suite 107, Sapulpa, OK 74066-2819 | 2007-03-06 |
| 1376178947 | Tara Lynn Simpson | Speech-Language Pathologist | 511 E Lee Ave, Sapulpa, OK 74066-4308 | 2020-03-04 |
| 1750761102 | Barbara Torbett | Speech-Language Pathologist | 15223 W 81st St S, Sapulpa, OK 74066-2984 | 2015-06-01 |
| 1285026625 | Casey Nelson | Speech-Language Pathologist | 1231 E Dewey Ave, Sapulpa, OK 74066-3607 | 2015-02-23 |
| 1437594645 | Genevieve Misener Veitch | Speech-Language Pathologist | 511 E Lee Ave, Sapulpa, OK 74066-4308 | 2013-05-01 |
| Find all providers in SAPULPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.