JORDAN BOGGESS


Address: 851 Professional Park Dr, Clarksville, TN 37040-5257
Phone: 9315422168

JORDAN BOGGESS (NPI# 1912529850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912529850
Entity Type Individual
Full Name JORDAN BOGGESS
Practice Address 851 Professional Park Dr
Clarksville
TN 37040-5257
Mailing Address 405 Adams Mill Rd
Cadiz
KY 42211-9632
Practice Telephone 9315422168
Enumeration Date 2020-05-14
Last Update Date 2020-05-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
614 Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SLP-A REGISTRATION 614 01

Office Location

Street Address 851 PROFESSIONAL PARK DR
City CLARKSVILLE
State TN
Zip Code 37040-5257

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326269119 Advanced Therapy Solutions Counselor 851 Professional Park Dr, Clarksville, TN 37040-5257 2007-05-01
1710597026 Amanda Gail Rains Speech-Language Pathologist 851 Professional Park Dr, Clarksville, TN 37040-5257 2020-08-03
1770101339 Julie Simpkins Physical Therapist 851 Professional Park Dr, Clarksville, TN 37040-5257 2020-07-10
1508484593 Fhalon Marie Walker Counselor 851 Professional Park Dr, Clarksville, TN 37040-5257 2020-07-07
1881219970 Morgan Nicole Sandmann Speech-Language Pathologist 851 Professional Park Dr, Clarksville, TN 37040-5257 2020-06-15
1982228698 Lindsay Senft Speech-Language Pathologist 851 Professional Park Dr, Clarksville, TN 37040-5257 2020-05-29
1134756406 Lyn Marie Deters Occupational Therapist 851 Professional Park Dr, Clarksville, TN 37040-5257 2020-03-25
1275164733 Allie Elizabeth Stumbo Physical Therapist 851 Professional Park Dr, Clarksville, TN 37040-5257 2020-02-03
1003467598 Anne Rareshide Beach Social Worker 851 Professional Park Dr, Clarksville, TN 37040-5257 2019-09-25
1568016277 Alexandra Michelle Hale Occupational Therapist 851 Professional Park Dr, Clarksville, TN 37040-5257 2019-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770124380 Clarksville Treatment Center, LLC Clinic/Center 495 Dunlop Lane, Clarksville, TN 37040 2019-10-04
1295384956 Dena Marie Borchick Technician 3779 Cindy Jo Dr. N, Clarksville, TN 37040 2019-09-05
1477014488 Emily Allen Dentist 930 Hwy 76, Clarksville, TN 37040 2019-03-31
1730640566 Latoya Ewert Counselor Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 2019-03-26
1356811988 Jamie Coles Behavior Technician 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 2018-11-27
1518448554 Bandel Counseling Service Clinic/Center 113 3rd St., Suite 25, Clarksville, TN 37040 2018-08-28
1477052520 Bridget Stokes Behavior Technician 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 2018-02-05
1053824334 Sandra Loren Coates Nurse Practitioner 980 Professional Park Dr Ste C, Clarksville, TN 37040 2017-11-09
1902328362 Terri Brooke Roach Registered Nurse 651 Dunlop Lane, Clarksville, TN 37040 2017-07-07
1093244428 Nikkia Deneil Bell Behavior Technician 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 2017-06-08
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174041446 Emma Rose Tutor Specialist/Technologist 300 Ringgold Rd Unit 1802, Clarksville, TN 37042-7692 2017-09-06
1932565587 Kirstie Danielle Tollett Specialist/Technologist 106 N Hill St, Clarksville, AR 72830-2961 2016-01-13
1194063693 Sarah Mckinney Specialist/Technologist 1801 W Clark Rd, Clarksville, AR 72830-3913 2013-01-18
1114545910 Tabitha Leigh Ford Specialist/Technologist 1329 Applegate Ln, Clarksville, IN 47129-9612 2020-07-08
1881108710 Kathryn Mccusker Specialist/Technologist 1000 W Buchanan St, Clarksville, AR 72830-2252 2017-11-30
1275074809 Chatterbug Therapies, Inc Specialist/Technologist 106 N Hill St, Clarksville, AR 72830-2961 2017-03-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255988036 Molly Mcgrath Specialist/Technologist 126d Woodmont Blvd, Nashville, TN 37205-2213 2019-08-26
1336575109 Julie C Darnell Specialist/Technologist 101 S Main St Ste 506, Suite 506, Clinton, TN 37716-3622 2013-09-24
1912342155 Margaret Jean Prass Specialist/Technologist 377 School Rd, White Bluff, TN 37187-9023 2013-05-01
1407291701 Rebecca Sue Turbeville Specialist/Technologist 200 Humphries St, Charlotte, TN 37036-4902 2013-05-01
1245866003 Julia Ann Clayton Specialist/Technologist 889 Bell Rd Ste A, Antioch, TN 37013-3101 2020-03-12
1851954689 Chelsea Sims Specialist/Technologist 6413 Quince Rd, Memphis, TN 38119-8219 2019-04-17
1932670767 Joanna Anderson Specialist/Technologist 2208 E Main St, Murfreesboro, TN 37130-5800 2018-12-05
1205306040 Elizabeth King Specialist/Technologist 2208 E Main St, Murfreesboro, TN 37130-5800 2018-12-04
1104293612 Kimberly Sparkman Specialist/Technologist 2030 Chilhowee Medical Park, Maryville, TN 37804-5285 2015-09-01
1225421183 Katrina Thomas Specialist/Technologist 1215 21st Ave S Ste 9211, Nashville, TN 37232-0014 2015-03-16
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Competitor

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City CLARKSVILLE
Zip Code 37040

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Dataset Information

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.

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