JORDAN BOGGESS (NPI# 1912529850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SLP-A REGISTRATION | 614 | 01 |
Street Address |
851 PROFESSIONAL PARK DR |
City | CLARKSVILLE |
State | TN |
Zip Code | 37040-5257 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 37040 |
Taxonomy Code | 2355S0801X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Specialist/Technologist |
Specialization | Speech-Language Assistant |
Definition to come... |
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 |
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 |
Find all providers with the same taxonomy |
City | CLARKSVILLE |
Zip Code | 37040 |
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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.