Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851076202 Individual Practitioner Female Practitioner

Jordan Enevold

Speech-Language Pathologist • Otsego, MN

Professional Overview & Biography Verified Profile Summary

Jordan Enevold is a registered healthcare professional specializing in Speech-Language Pathologist in Otsego, MN. Practice services are available at 15590 90TH ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15590 90th St Ne

Otsego, MN 553309452

Telephone 7637554275
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Otsego, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
11 Specialists

Practicing in Otsego, MN (3097 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-21
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Megan Dierking

Speech-Language Pathologist

NPI 1003591652
Melissa Lonsky , CCC-SLP, OM

Speech-Language Pathologist

NPI 1013063213

Speech-Language Pathologist (Certificate of Clinical Competence), OM

Nicole Birr

Occupational Therapy Assistant

NPI 1013739234
Samantha Young

Occupational Therapist - Pediatrics

NPI 1013787001
Courtney Wagner

Speech-Language Pathologist

NPI 1023680451
Meridith Grob

Speech-Language Pathologist

NPI 1023791985

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 21, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2023

Registered at 15590 90TH ST NE, OTSEGO, MN 553309452 (Tel: 7637554275)

📍
Updated Business Mailing Address June 21, 2023

Registered at 1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 106055224

👤
Provider Name / Credentials Updated June 21, 2023

Recorded as JORDAN ENEVOLD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2023

Speech-Language Pathologist

🟢
Initial NPI Registration & Enumeration June 21, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851076202
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2023
Last Update: June 21, 2023
Sole Proprietor: No

Mailing Address

1311 Mamaroneck Ave Ste 140

White Plains, NY 106055224

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.