NPI Code Detail JSON Logo

1982453825 NPI number — JORDAN MICHELLE RUE MS

NPI Number: 1982453825
Health Care Provider/Practitioner: JORDAN MICHELLE RUE MS

Information about “1982453825” NPI (JORDAN MICHELLE RUE MS) exists in 1982453825 in HTML format HTML  |  1982453825 in plain Text format TXT  |  1982453825 in PDF (Portable Document Format) PDF  |  1982453825 in an XML format XML  formats.

NPI Number : 1982453825 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1982453825",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RUE",
    "FirstName": "JORDAN",
    "MiddleName": "MICHELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10260 US HIGHWAY 77",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEXINGTON",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73051-9668",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "580-339-2912",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1211 S 29TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICKASHA",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73018-9651",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-921-2979",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/14/2024",
    "LastUpdateDate": "01/09/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "OK",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.