NAN JORDAN (NPI# 1205253788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205253788 |
| Entity Type | Individual |
| Full Name | NAN JORDAN |
| Practice Address |
2100 Raybrook St Se Grand Rapids MI 49546-7759 |
| Practice Telephone | 6169545534 |
| Practice Fax Number | 6169541520 |
| Mailing Telephone | 6169545534 |
| Mailing Fax Number | 6169541520 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
4704186193 | MI | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992099048 | Nan Jeanne Jordan | Nurse Practitioner | 1400 Hesters Crossing Rd, Round Rock, TX 78681-8025 | 2011-06-07 |
| Street Address |
2100 RAYBROOK ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-7759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710931308 | Atrio Home Health | Home Health | 2100 Raybrook St Se, Ste 303, Grand Rapids, MI 49546-5783 | 2006-05-19 |
| 1043839111 | Emily L Page | Nurse Practitioner | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2020-04-09 |
| 1992278113 | Julie Marie Ball | Social Worker | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2019-01-10 |
| 1164995049 | Jeanne Marie Burns | Occupational Therapist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2019-01-03 |
| 1861964389 | Karen Elizabeth Vanderploeg | Speech-Language Pathologist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-21 |
| 1942772579 | Rachael Lynn Reimink | Occupational Therapist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-20 |
| 1063984862 | Kellie Marie Palmbos | Social Worker | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-19 |
| 1750853644 | Cheryl A Kaltz | Occupational Therapist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-18 |
| 1669944559 | Christine Lynn Fraser-lee | Occupational Therapist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-18 |
| 1013489905 | Kristie Jo Parker | Occupational Therapist | 2100 Raybrook St Se, Grand Rapids, MI 49546-7759 | 2018-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477020592 | Carol Dozeman | Registered Nurse | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2018-10-26 |
| 1013482918 | Leslie Yvonne Redmon | Registered Nurse | 385 Leonard St Ne, Grand Rapids, MI 49503-1129 | 2018-10-06 |
| 1912493727 | Tracey Renee Roby | Registered Nurse | 385 Leonard St Ne, Grand Rapids, MI 49503-1129 | 2018-07-04 |
| 1497274773 | Dana J Christensen | Registered Nurse | 385 Leonard St Ne, Grand Rapids, MI 49503-1129 | 2017-09-18 |
| 1962922526 | Jennifer Lynn Johnson | Registered Nurse | 385 Leonard St Ne, Grand Rapids, MI 49503-1129 | 2017-06-26 |
| 1568915544 | Kristin Dumeney | Registered Nurse | 385 Leonard St Ne, Grand Rapids, MI 49503-1129 | 2016-07-26 |
| 1609269745 | Annah-nataliye Marchant | Registered Nurse | 100 Cherry St Se, Grand Rapids, MI 49503-4526 | 2015-03-13 |
| 1053702225 | Linda Zahrn | Registered Nurse | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2015-02-10 |
| 1629469879 | Janis Spotts | Registered Nurse | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2015-02-10 |
| 1821489071 | Nancy Mattson | Registered Nurse | 1131 Ionia Ave Nw, Grand Rapids, MI 49503-1020 | 2015-02-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
Please comment or provide details below to improve the information on NAN JORDAN.
| 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.