JORDAN JOHNSON (NPI# 1710399423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710399423 |
| Entity Type | Individual |
| Full Name | JORDAN JOHNSON |
| Credential | M. ED CCC-SLP |
| Practice Address |
2448 S 102nd St Suite 340 Milwaukee WI 53227-2466 |
| Mailing Address |
1905 N Water St Apt 305 Milwaukee WI 53202-1589 |
| Practice Telephone | 4143292500 |
| Practice Fax Number | 4143292501 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2018-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090953 | Jordan Johnson | Case Manager/Care Coordinator | 19710 Cherry Hill St, Southfield, MI 48076-1061 | 2020-10-12 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1871018366 | Jordan Isaiah Johnson | Licensed Practical Nurse | 4503 Edmond Dr, South Euclid, OH 44121-3907 | 2017-08-07 |
| 1740735620 | Jordan Johnson | Physical Therapist | 137 E 3rd Ave Apt 14, Salt Lake City, UT 84103-5016 | 2016-08-19 |
| 1396114351 | Jordan Johnson | Behavioral Analyst | 146 S Thomas St Ste E, Tupelo, MS 38801-5328 | 2015-09-21 |
| 1881072205 | Jordan Johnson | Technician, Other | 222 6th Ave, Manistee, MI 49660-1318 | 2015-05-18 |
| 1528497286 | Jordan R Johnson | Marriage & Family Therapist | 121 S Alfred St, Suite 9, Alexandria, VA 22314-3049 | 2013-11-04 |
| 1366888174 | Jordan Lloyd Johnson | Dentist | 2232 Bardstown Rd Ste A, Louisville, KY 40205-1986 | 2013-05-20 |
| 1669085981 | Jordan Johnson | Physician Assistant | 990 Nw Circle Blvd Ste 102, Corvallis, OR 97330-1967 | 2020-08-26 |
| 1932723715 | Jordan Tyler Johnson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-06-08 |
| Street Address |
2448 S 102ND ST SUITE 340 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53227-2466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035911 | Leah Mikrut | Physical Therapy Assistant | 2448 S 102nd St, Milwaukee, WI 53227-2466 | 2020-08-30 |
| 1609490572 | Andrew Moen | Physical Therapist | 2448 S 102nd St, Milwaukee, WI 53227-2466 | 2020-06-05 |
| 1467008672 | Kyle Ray Fiske | Physical Therapy Assistant | 2448 S 102nd St, Milwaukee, WI 53227-2466 | 2019-08-13 |
| 1386102838 | Juliane Rebholz | Occupational Therapist | 2448 S 102nd St, Milwaukee, WI 53227-2466 | 2019-03-04 |
| 1316410707 | Julie A Frey | Occupational Therapy Assistant | 2448 S 102nd St, Milwaukee, WI 53227-2466 | 2019-01-08 |
| 1538673710 | Cassie Wisconsin Welch | Physical Therapy Assistant | 2448 S 102nd St, Milwaukee, WI 53227-2466 | 2017-11-26 |
| 1770095465 | Aimee Rachelle Miller | Occupational Therapy Assistant | 2448 S 102nd St, Milwaukee, WI 53227-2466 | 2017-11-02 |
| 1851743777 | Anne Sempos | Speech-Language Pathologist | 2448 S 102nd St, Milwaukee, WI 53227-2466 | 2016-07-02 |
| 1609264662 | Brittany Myren | Physical Therapy Assistant | 2448 S 102nd St, Suite 340, Milwaukee, WI 53227-2466 | 2014-12-29 |
| 1285047068 | Kesha Semingson | Physical Therapy Assistant | 2448 S 102nd St, Suite 340, Milwaukee, WI 53227-2466 | 2014-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| 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 |
|---|---|---|---|---|
| 1689299489 | Chandler Nies | Speech-Language Pathologist | 139 S 72nd St # A, Milwaukee, WI 53214-1522 | 2020-06-08 |
| 1518590819 | Abigail Decook | Speech-Language Pathologist | 713a E Townsend St, Milwaukee, WI 53212-1633 | 2020-02-15 |
| 1043704018 | Emily Dressler | Speech-Language Pathologist | 161 W Wisconsin Ave Apt 303, Milwaukee, WI 53203-2621 | 2018-06-21 |
| 1609394220 | Aaron Park | Speech-Language Pathologist | 3540 S. 43rd St., Milwaukee, WI 53220 | 2017-09-04 |
| 1164947420 | Lauren Donile | Speech-Language Pathologist | 1012 E Wright St Apt 3, Milwaukee, WI 53212-3096 | 2017-08-08 |
| 1497280150 | Lindsay Haumschild | Speech-Language Pathologist | 3033 N Humboldt Blvd, Milwaukee, WI 53212-2225 | 2017-05-01 |
| 1528517232 | Therese Simonis | Speech-Language Pathologist | 2390 N Lake Drive, Milwaukee, WI 53211 | 2016-09-23 |
| 1932552247 | Courtney Miklos | Speech-Language Pathologist | 1635 N Water St, Apartment #513, Milwaukee, WI 53202-2061 | 2016-07-21 |
| 1205288214 | Amanda Thompson | Speech-Language Pathologist | 8505 W Center St Apt 3, Milwaukee, WI 53222-4757 | 2016-07-01 |
| 1134502925 | Zachary Daniel Tillotson | Speech-Language Pathologist | 5652 S 23rd St, Milwaukee, WI 53221-4208 | 2015-06-30 |
| Find all providers in MILWAUKEE | ||||
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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.