TYLER LLOYD JORDAN (NPI# 1144850322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144850322 |
| Entity Type | Individual |
| Full Name | TYLER LLOYD JORDAN |
| Practice Address |
758 Stockton Rd Wallingford KY 41093-8650 |
| Mailing Address |
332 River Bend Rd Louisa KY 41230-1407 |
| Practice Telephone | 6063930756 |
| Mailing Telephone | 6062548965 |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467759365 | Tyler Ray Jordan | Registered Nurse | 1006 Sunset Ter, Milton, WV 25541-1039 | 2011-02-12 |
| Street Address |
758 STOCKTON RD |
| City | WALLINGFORD |
| State | KY |
| Zip Code | 41093-8650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083024962 | Kristina Cornett | Community Health Worker | 758 Stockton Rd, Wallingford, KY 41093-8650 | 2014-05-01 |
| 1447812680 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 758 Stockton Rd, Wallingford, KY 41093-8650 | 2019-07-08 |
| 1699274068 | Eric Bush | Peer Specialist | 758 Stockton Rd, Wallingford, KY 41093-8650 | 2018-02-12 |
| 1154820777 | Nathan Donald Lewis | Peer Specialist | 758 Stockton Rd, Wallingford, KY 41093-8650 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376990515 | Christopher Branham | Peer Specialist | 755 Stockton Rd., Wallingford, KY 41093 | 2016-05-18 |
| 1063766640 | Teresa King | Occupational Therapist | 1337 Anderson Branch Rd, Wallingford, KY 41093-8429 | 2012-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625710 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1046 N Colony Rd Bldg A, Wallingford, CT 06492-1764 | 2020-10-06 |
| 1144833278 | Internal Wellness | Counselor | 6 Cedar St, Wallingford, CT 06492-4530 | 2020-08-28 |
| 1306459052 | Grateful Soul Counseling, LLC | Community/Behavioral Health | 44 School House Rd, Wallingford, CT 06492-3434 | 2020-08-24 |
| 1306458765 | Rebecca Lynn Spadory | Speech-Language Pathologist | 82 Staffordshire Commons Dr, Wallingford, CT 06492-1757 | 2020-08-18 |
| 1629686332 | Justine Framularo | Counselor | 293 S Orchard St, Wallingford, CT 06492-4545 | 2020-07-20 |
| 1629686316 | Thomas Mansfield | Specialist/Technologist | 222 Brentwood Dr, Wallingford, CT 06492-4352 | 2020-07-19 |
| 1780202622 | Lennox Counseling LLC | Community/Behavioral Health | 178 S Elm St, Wallingford, CT 06492-4867 | 2020-07-07 |
| 1639796360 | Kimberley Robinson Carr | Social Worker | 87 Hintz Dr, Wallingford, CT 06492-2001 | 2020-06-29 |
| 1619594496 | Terri Passante | Obstetrics & Gynecology | 99 Colonial Hill Dr, Wallingford, CT 06492-3470 | 2020-06-29 |
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| Find all providers in WALLINGFORD | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376990515 | Christopher Branham | Peer Specialist | 755 Stockton Rd., Wallingford, KY 41093 | 2016-05-18 |
| 1699274068 | Eric Bush | Peer Specialist | 758 Stockton Rd, Wallingford, KY 41093-8650 | 2018-02-12 |
| 1154820777 | Nathan Donald Lewis | Peer Specialist | 758 Stockton Rd, Wallingford, KY 41093-8650 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861842 | Odell Levi Dixon | Peer Specialist | 105 S Main Cross St, Louisa, KY 40517 | 2020-11-03 |
| 1881291672 | W I N G S Community Support & Recovery Services | Peer Specialist | 401 N Miles St # B101, Elizabethtown, KY 42701-1834 | 2020-10-05 |
| 1881204212 | Kada Essig | Peer Specialist | 308 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-07-31 |
| 1427671957 | Barbara K Collier | Peer Specialist | 205 Mercer St, Elizabethtown, KY 42701-2731 | 2020-05-19 |
| 1316566813 | Sarah Clarkson Goff | Peer Specialist | 2655 Bardstown Rd, St Catharine, KY 40061 | 2020-04-14 |
| 1497383715 | Lawerence E Pickett | Peer Specialist | 537 Bellwood Dr, Elizabethtown, KY 42701-2336 | 2020-03-31 |
| 1326676578 | April Roann Robertson | Peer Specialist | 207 Hillcrest Dr, Elizabethtown, KY 42701-1719 | 2020-03-31 |
| 1053949370 | Brad Williamson | Peer Specialist | 535 Bellwood Dr Apt 1, Elizabethtown, KY 42701-2335 | 2020-03-31 |
| 1730717000 | Carolyn M Vance | Peer Specialist | 537 Bellwood Dr Apt 1, Elizabethtown, KY 42701-2336 | 2020-03-31 |
| 1083242697 | Chelsea Blair | Peer Specialist | 413 E Dixie Ave, Elizabethtown, KY 42701-1162 | 2020-03-30 |
| Find all providers with the same taxonomy | ||||
| City | WALLINGFORD |
| Zip Code | 41093 |
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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.