THOMAS JORDAN (NPI# 1134762594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134762594 |
| Entity Type | Individual |
| Full Name | THOMAS JORDAN |
| Practice Address |
14717 S Minuteman Dr Draper UT 84020-9549 |
| Mailing Address |
467 E 100 S Manti UT 84642-1416 |
| Practice Telephone | 4358358293 |
| Mailing Telephone | 4358358293 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2020-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 9100065-3102 | UT | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9100065-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821519737 | Thomas Roger Jordan | Massage Therapist | 4907 Niagara Rd Ste 102, College Park, MD 20740-1100 | 2017-06-30 |
| 1083745905 | Thomas Jordan | Psychologist | 574 W End Ave, #64, New York, NY 10024-2748 | 2007-03-09 |
| 1114054293 | Thomas Bret Jordan | Physical Therapist | 534 E Loula St, Olathe, KS 66061-5402 | 2007-02-27 |
| 1801954243 | Thomas M Jordan | Pharmacist | 1020 North Collins, Arlington, TX 76011 | 2006-12-05 |
| 1932157211 | Thomas Andrew Jordan | Dentist | Cmr 402 Apo Ae 09180 Ave, Landstuhl Dental Activity, Apo Ae 09180, NY 09180 | 2006-05-05 |
| 1831192293 | Thomas Edison Jordan Jr. | Psychiatry & Neurology | 197 Ridge Rd, Jupiter, FL 33477-9660 | 2005-05-31 |
| 1013442656 | Thomas William Jordan | Student in an Organized Health Care Education/Training Program | 100 High St, Buffalo, NY 14203-1126 | 2017-04-20 |
| 1255884045 | Thomas Jordan | Dentist | 1921 Sheridan Blvd Unit F, Edgewater, CO 80214-1315 | 2016-07-27 |
| 1316367048 | Thomas W Jordan | Counselor | 7041 20th Ave, Centerville, MN 55038-9737 | 2014-04-21 |
| 1427485671 | Thomas A Jordan | Acupuncturist | 2630 Brandt School Road, Wexford, PA 15090 | 2013-10-02 |
| Street Address |
14717 S MINUTEMAN DR |
| City | DRAPER |
| State | UT |
| Zip Code | 84020-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322776 | Chase Larsen Dmd Pllc | Dentist | 723 E 12200 S, Draper, UT 84020 | 2020-10-06 |
| 1780222380 | Derek Cragun | Counselor | 11706 700 E, Draper, UT 84020 | 2019-12-13 |
| 1720629371 | Own My Health Medical | Clinic/Center | 12371 900 E, Suite 102, Draper, UT 84020 | 2019-10-04 |
| 1508418856 | Thomas Mifflin | Physician Assistant | 721 East 12200 South, Draper, UT 84020 | 2019-07-16 |
| 1124670872 | Necia Dalley | Registered Nurse | 11800 S State St, Draper, UT 84020 | 2019-07-12 |
| 1285100784 | Tracey M Williams | Psychologist | 13200 S 1601 E, Draper, UT 84020 | 2018-10-23 |
| 1275008328 | Amoni Paeahelotu Finau | Community Health Worker | 13703 Wheatfield Way, Draper, UT 84020 | 2018-10-04 |
| 1891275525 | Cynthia Mae Bolton | Psychologist | 1192 E Draper Parkway # 447, Draper, UT 84020 | 2018-08-21 |
| 1164908026 | Headin' Home Inc. | Community/Behavioral Health | 12300 S. 150 W., Draper, UT 84020 | 2018-07-13 |
| 1366932576 | Forest Hulet | Dentist | 219 E 12300, Ste I-5, Draper, UT 84020 | 2018-05-14 |
| Find all providers in zip 84020 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144887365 | Katherine Elizabeth Stevenson | Nurse Practitioner | 12176 S 1000 E Ste 10, Draper, UT 84020-3221 | 2019-05-22 |
| 1346704533 | Brooke O'brien | Nurse Practitioner | 11762 S State St Ste 200, Draper, UT 84020-7158 | 2019-01-22 |
| 1457603466 | Kelly Lynn Lance | Nurse Practitioner | 248 E 13800 S, Suite 3, Draper, UT 84020-5010 | 2012-10-15 |
| 1578172847 | Leslie Forbush | Nurse Practitioner | 14425 S Bitterbrush Ln, Draper, UT 84020-9501 | 2020-07-23 |
| 1659936151 | Heather Harrison Hardy | Nurse Practitioner | 12433 S Fort St, Draper, UT 84020-9363 | 2019-05-09 |
| 1528621752 | Ashlee Williams | Nurse Practitioner | 12340 S 450 E, Draper, UT 84020-8154 | 2019-04-14 |
| 1184184863 | Hafsa M Abdikadir | Nurse Practitioner | 267 E Traversepoint Dr, Draper, UT 84020-5679 | 2019-03-20 |
| 1689145963 | Anew Clinical Practitioners Pllc | Nurse Practitioner | 11762 S State St Ste 160, Draper, UT 84020-7174 | 2018-12-11 |
| 1518402841 | Christopher Michael Williams | Nurse Practitioner | 12176 S 1000 E, Draper, UT 84020-9734 | 2016-12-22 |
| 1871041574 | Margaret Swiler | Nurse Practitioner | 74 E Kimballs Ln Ste 300, Draper, UT 84020-5009 | 2016-09-12 |
| Find all providers in DRAPER | ||||
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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.