JORDAN D. MIZE (NPI# 1346622354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346622354 |
| Entity Type | Individual |
| Full Name | JORDAN D. MIZE |
| Other Name | JORDAN D. NICHOLS |
| Credential | MS, RDN |
| Practice Address |
100 Mercy Way Ste 580 Joplin MO 64804-4524 |
| Practice Telephone | 4175568555 |
| Practice Fax Number | 4175568553 |
| Mailing Telephone | 4175568555 |
| Mailing Fax Number | 4175568553 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2016-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
2015020189 | MO | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1346622354 | 05 |
| Street Address |
100 MERCY WAY STE 580 |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-4524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378693 | Ajit S Nagra | Anesthesiology | 100 Mercy Way, Joplin, MO 64804-4524 | 2005-07-06 |
| 1538782537 | Ruby Nicole Tollison | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-05-26 |
| 1801416508 | Kristina Marie Crosby | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-04-22 |
| 1023637071 | Casey Lane Truitt | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-04-09 |
| 1346878485 | Matthew Zachary Wohlfahrt | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-04-01 |
| 1801436779 | Lindsay Marcy | Nurse Practitioner | 100 Mercy Way, Joplin, MO 64804-4524 | 2020-01-08 |
| 1548811219 | Kayley Myers | Dietitian, Registered | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-09-24 |
| 1992367502 | Kendrick R Maus | Nurse Practitioner | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-07-03 |
| 1669036075 | Morgan Gilkerson | Nurse Anesthetist, Certified Registered | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-05-01 |
| 1831655745 | Sue Ann Denney | Registered Nurse | 100 Mercy Way, Joplin, MO 64804-4524 | 2019-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265908818 | Katherine Somers Clark | Dietitian, Registered | 2615 E 20th St, Joplin, MO 64804-1039 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881133270 | Dawn Marie Brouk | Dietitian, Registered | 16105 Elkton Ct, Chesterfield, MO 63005-6901 | 2017-02-17 |
| 1780950840 | Jessica Leigh Stafford | Dietitian, Registered | 3412 Daybreak Ln, Saint Charles, MO 63303-1942 | 2012-03-22 |
| 1194011726 | Tomoko Okada | Dietitian, Registered | 1451 Ridgetree Trails Dr, Wildwood, MO 63021-5944 | 2011-06-22 |
| 1730368671 | Tammy Elva Grayum | Dietitian, Registered | 14171 State Road Tt, Festus, MO 63028-4819 | 2007-10-28 |
| 1902428022 | Marilyn Kaye Tanner-blasiar | Dietitian, Registered | 1 Childrens Pl Cb 8116, Saint Louis, MO 63110-1002 | 2020-05-12 |
| 1205395720 | Laurie Ann Sax | Dietitian, Registered | 1 Childrens Pl, Saint Louis, MO 63110-1002 | 2019-03-14 |
| 1285107821 | Jade Leanna Caldwell | Dietitian, Registered | 1 Childrens Pl, Ste C, Saint Louis, MO 63110-1002 | 2019-01-07 |
| 1801333018 | Elizabeth Rose Toolan | Dietitian, Registered | 1 Childrens Pl Ste C, Ste C, Saint Louis, MO 63110-1002 | 2017-01-25 |
| 1326313909 | Nancy Keetch | Dietitian, Registered | 100 Medical Plz, Suite 1203, Lake Saint Louis, MO 63367-1366 | 2012-03-15 |
| 1710252440 | Amanda Carole Bratton | Dietitian, Registered | 100 Medical Plz, Suite 1203, Lake St Louis, MO 63367-1366 | 2012-03-13 |
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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.