MS. TIFFANY B JORDAN (NPI# 1407072341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407072341 |
| Entity Type | Individual |
| Full Name | MS. TIFFANY B JORDAN |
| Credential | PA-C |
| Practice Address |
2235 Venetian Court Suite 1 Naples FL 34109-8728 |
| Mailing Address |
23471 Walden Center Drive Suite 300 Bonita Springs FL 34134-5016 |
| Practice Telephone | 2395969337 |
| Practice Fax Number | 2395969466 |
| Mailing Telephone | 2395969337 |
| Mailing Fax Number | 2395969466 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
AL1992 | FL | Allopathic & Osteopathic Physicians |
| N | 2251S0007X |
Physical Therapist Specialization: Sports |
PT22440 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 363A00000X | Physician Assistant | PA9106038 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | FH622Y K4948 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710290317 | Tiffany Lynn Jordan | Registered Nurse | 3443 Beaumont Dr, Toledo, OH 43608-1610 | 2010-07-23 |
| 1497233233 | Tiffany Jordan | Community Health Worker | 1569 State Route 28, Loveland, OH 45140-6086 | 2018-08-03 |
| 1154748747 | Tiffany Jordan | Counselor | 6615 N Big Hollow Rd, Peoria, IL 61615 | 2014-03-21 |
| 1992136246 | Tiffany Jordan | Counselor | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2013-12-11 |
| 1275779423 | Tiffany Nichol Jordan | Nurse Practitioner | 2120 S Mcclintock Dr, Ste 105, Tempe, AZ 85282-2692 | 2008-12-17 |
| 1619008489 | Tiffany Marie Jordan | Counselor | 940 Avenue 64, Pasadena, CA 91105-2711 | 2007-03-07 |
| Street Address |
2235 VENETIAN COURT SUITE 1 |
| City | NAPLES |
| State | FL |
| Zip Code | 34109-8728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356357289 | Stephen Joseph Vitale | Dermatology | 2235 Venetian Court, Suite 1, Naples, FL 34109 | 2006-07-31 |
| 1730435470 | Nicole Marie Habib | Physician Assistant | 2235 Venetian Court, Suite 1, Naples, FL 34109 | 2012-07-31 |
| 1881909752 | Lianne Riley Martin | Physician Assistant | 2235 Venetian Court, Suite 1, Naples, FL 34109 | 2010-08-16 |
| 1376732511 | Sarah Martin Schloss | Physician Assistant | 2235 Venetian Court, Suite 1, Naples, FL 34109 | 2007-10-23 |
| 1114124542 | Samantha Hope Fisher | Dermatology | 2235 Venetian Court, Suite 1, Naples, FL 34109-8728 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325467 | Dah Therapies LLC | Clinic/Center | 4750 Aston Gardens Way, Therapy Room, Second Floor, Naples, FL 34109 | 2018-11-20 |
| 1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
| 1114417508 | Vascular Center of Naples Inc. | Surgery | 5490 Bryson Dr Ste 201, Naples, FL 34109 | 2018-05-11 |
| 1497257968 | Neuro-tech Inc | Behavioral Analyst | 5687 Naples Blvd Suite A, Naples, FL 34109 | 2018-03-01 |
| 1407302177 | Kendria Brown | Behavioral Analyst | 10641 Airport Pulling Road, Naples, FL 34109 | 2016-08-31 |
| 1255789368 | Ideal Image | Specialist | 1485 Pine Ridge Road Unit #1, Naples, FL 34109 | 2016-05-31 |
| 1790153062 | Lee Memorial Health System | Pharmacy | 3361 Pine Ridge Rd, Suite 100, Naples, FL 34109 | 2015-09-03 |
| 1922400340 | North Naples Pediatric Center | Pediatrics | 9160 Galleria Court, Naples, FL 34109 | 2014-09-17 |
| 1720326978 | Evan Michael Asay | Occupational Therapist | 1865 Veterans Park Drive, Suite 101, Naples, FL 34109 | 2013-01-23 |
| 1942599436 | Anchors Away Medical Corp. | Internal Medicine | 1495 Pine Ridge Rd., Suite 4, Naples, FL 34109 | 2011-04-05 |
| Find all providers in zip 34109 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575479 | Cristina Marie Lago | Physician Assistant | 2325 Stanford Ct, Naples, FL 34112-4813 | 2020-10-14 |
| 1497375075 | Daniela Herrera Ceballos | Physician Assistant | 7943 Haven Dr Unit 1, Naples, FL 34104-5979 | 2020-04-23 |
| 1215587340 | Aida Brax | Physician Assistant | 13005 Collier Blvd, Naples, FL 34116-4003 | 2019-09-20 |
| 1568931335 | Jonathan Fletcher Michaelis | Physician Assistant | 13020 Livingston Rd Ste 14, Naples, FL 34105-5023 | 2018-11-21 |
| 1669971412 | Chelsea Allan | Physician Assistant | 848 1st Ave N Ste 100, Naples, FL 34102-6063 | 2018-02-07 |
| 1336659622 | Miriam Albritton | Physician Assistant | 1201 Piper Blvd Ste 24, Naples, FL 34110-1385 | 2017-10-02 |
| 1821455262 | Laura Khawaja | Physician Assistant | 7069 Lone Oak Blvd, Naples, FL 34109-8875 | 2016-01-15 |
| 1225429889 | Maria Francesca Zampogna Wilson | Physician Assistant | 6400 Davis Blvd Ste 203, Naples, FL 34104-5321 | 2015-02-17 |
| 1972906113 | Kellie Jo Dunlap | Physician Assistant | 830 105th Ave N, Naples, FL 34108-1844 | 2014-10-02 |
| 1902208077 | Bogdan-gabriel Cozmuta | Physician Assistant | 400 8th Street North, Naples, FL 34102-7906 | 2014-09-20 |
| Find all providers in NAPLES | ||||
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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.