MRS. JESSICA JORDAN (NPI# 1316466212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316466212 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA JORDAN |
| Credential | LMT |
| Practice Address |
1121 76 Rd Berkshire NY 13736-2007 |
| Practice Telephone | (607) 351-0934 |
| Mailing Telephone | 6073510934 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 029889-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874498 | Jessica Jordan | Massage Therapist | 602 Sw 1st St, Dania, FL 33004-3209 | 2020-09-08 |
| 1144853391 | Jessica Jordan | Developmental Therapist | 7618 Jockey Dr, Loves Park, IL 61111-5389 | 2020-02-17 |
| 1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
| 1124587852 | Jessica Jordan | Behavior Technician | 14440 Harvey Ln, Riverside, CA 92503-7463 | 2019-03-12 |
| 1558839720 | Jessica Jordan | Speech-Language Pathologist | 1984 Folly Rd Apt B101, Charleston, SC 29412-8581 | 2018-11-06 |
| 1285136739 | Jessica B. M. Jordan | Acupuncturist | 104 S Stellar Pkwy, Chandler, AZ 85226-3725 | 2018-03-01 |
| 1275631210 | Jessica Jordan | Advanced Practice Midwife | 2910 Libby Ter, Richmond, VA 23223-7908 | 2006-09-21 |
| 1770194490 | Jessica Jordan | Student in an Organized Health Care Education/Training Program | 1900 Gravier St, New Orleans, LA 70112-2262 | 2020-08-14 |
| 1932717949 | Jessica Marie Jordan | Student in an Organized Health Care Education/Training Program | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2020-07-15 |
| 1710511134 | Jessica Marie Jordan | Audiologist | 500 University Dr, Hershey, PA 17033-2360 | 2020-02-25 |
| Street Address |
1121 76 RD |
| City | BERKSHIRE |
| State | NY |
| Zip Code | 13736-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183461 | Aniiyah Christina Klock | Massage Therapist | 367 Andersen Hill Road, Berkshire, NY 13736 | 2017-09-12 |
| 1497994677 | Michelle Lee Pratt | Community Health Worker | 393 Tubbs Hill Rd, Berkshire, NY 13736-1521 | 2009-02-12 |
| 1699285239 | Heather Irish | Occupational Therapist | 280 Squedunk Rd, Berkshire, NY 13736-1626 | 2017-10-10 |
| 1548435266 | Berkshire Family Medicine Pllc | Clinic/Center | 12594 State Route 38, Berkshire, NY 13736-1907 | 2008-04-23 |
| 1942533732 | Edward D Dyer | Licensed Practical Nurse | 466 Ford Hill Rd, Berkshire, NY 13736-2136 | 2009-09-10 |
| 1659629160 | Mary Ellen Spoonhower | Licensed Practical Nurse | 12433 State Route 38, Berkshire, NY 13736-2324 | 2012-08-15 |
| 1730401670 | David A Smith | Registered Nurse | 996 Brown Rd, Berkshire, NY 13736-2343 | 2010-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699285239 | Heather Irish | Occupational Therapist | 280 Squedunk Rd, Berkshire, NY 13736-1626 | 2017-10-10 |
| 1588183461 | Aniiyah Christina Klock | Massage Therapist | 367 Andersen Hill Road, Berkshire, NY 13736 | 2017-09-12 |
| 1659629160 | Mary Ellen Spoonhower | Licensed Practical Nurse | 12433 State Route 38, Berkshire, NY 13736-2324 | 2012-08-15 |
| 1730401670 | David A Smith | Registered Nurse | 996 Brown Rd, Berkshire, NY 13736-2343 | 2010-02-19 |
| 1942533732 | Edward D Dyer | Licensed Practical Nurse | 466 Ford Hill Rd, Berkshire, NY 13736-2136 | 2009-09-10 |
| 1497994677 | Michelle Lee Pratt | Community Health Worker | 393 Tubbs Hill Rd, Berkshire, NY 13736-1521 | 2009-02-12 |
| 1548435266 | Berkshire Family Medicine Pllc | Clinic/Center | 12594 State Route 38, Berkshire, NY 13736-1907 | 2008-04-23 |
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588183461 | Aniiyah Christina Klock | Massage Therapist | 367 Andersen Hill Road, Berkshire, NY 13736 | 2017-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.