ANDREA JORDAN (NPI# 1164035010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164035010 |
| Entity Type | Individual |
| Full Name | ANDREA JORDAN |
| Credential | NP |
| Practice Address |
1202 Martin Luther King Jr Way Tacoma WA 98405-3926 |
| Practice Telephone | 2535974550 |
| Mailing Telephone | 2535974550 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP61084447 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790169035 | Andrea Jordan | Licensed Practical Nurse | 9008 Burt Rd, Detroit, MI 48228-1610 | 2015-07-16 |
| 1811266638 | Andrea Paola Jordan | Counselor | 1485 Stonebrook St, Azusa, CA 91702-1423 | 2011-12-22 |
| 1871061879 | Andrea Jordan | Case Manager/Care Coordinator | 300 N Clifton St, Fordyce, AR 71742-3055 | 2018-11-07 |
| 1255818407 | Andrea L Jordan | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-07-20 |
| 1972922888 | Andrea Jordan | Registered Nurse | 910 W 5th Ave, Suite 102, Spokane, WA 99204-2966 | 2014-04-08 |
| 1912331265 | Andrea L Jordan | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106 | 2013-08-22 |
| 1144661075 | Andrea Elizabeth Jordan | Dentist | 1691 El Camino Real, Suite 200, Palo Alto, CA 94306-1053 | 2013-07-08 |
| 1023357126 | Andrea Jordan | Counselor | 1101 Broadway St Ste 230, Vancouver, WA 98660-3320 | 2013-02-08 |
| 1245562321 | Andrea Jordan | Pharmacist | 3000 Ericsson Dr, Ste 100, Warrendale, PA 15086-6501 | 2010-02-01 |
| 1902056047 | Andrea Jordan | Counselor | 303 W Water St, Flint, MI 48503-5627 | 2008-09-25 |
| Street Address |
1202 MARTIN LUTHER KING JR WAY |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-3926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619955424 | James G Lenhart | Emergency Medicine | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2006-01-03 |
| 1164039707 | Josephine Eshun | Nurse Practitioner | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-09-28 |
| 1417586777 | Tor Anderson | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1023647302 | Ariahnna Lynne Nietzke | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1982233292 | Joshua Monson | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-07 |
| 1871122317 | Marina Leith | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-06 |
| 1174152169 | Charlee Rhea Abboud | Student in an Organized Health Care Education/Training Program | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-04-02 |
| 1609401272 | Mitsy Chester | Dental Hygienist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-03-04 |
| 1700425543 | Renjitha James | Pharmacist | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2019-12-26 |
| 1265092076 | Lauren Berglind | Nurse Practitioner | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2019-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1033755699 | Maryam Roya Jalili | Nurse Practitioner | 12180 Park Ave S Tacoma Wa 98447, Tacoma, WA 98447-0001 | 2019-11-19 |
| 1003467127 | Salome Odja Dockendorf | Nurse Practitioner | 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402-4301 | 2019-09-20 |
| 1962064469 | Latoya Tia Marie Veliz | Nurse Practitioner | 2621 170th Street Ct E, Tacoma, WA 98445-7328 | 2019-07-03 |
| 1033629571 | Matthew Alexander Watson | Nurse Practitioner | 9040 Jackson Ave Jay Clinic Jay Clinic, Tacoma, WA 98431-4712 | 2017-10-11 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1376081836 | Baby Nellie Tamayo | Nurse Practitioner | 10021 12th Ave S, Tacoma, WA 98444-4106 | 2017-02-05 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1508273590 | Mallory Louise Pursley | Nurse Practitioner | 1608 South J Street, 3rd Floor, Tacoma, WA 98405 | 2014-07-22 |
| 1932539137 | Nandi Brumidge | Nurse Practitioner | 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208 | 2013-11-25 |
| Find all providers in TACOMA | ||||
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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.