TINA JORDAN (NPI# 1417318775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417318775 |
| Entity Type | Individual |
| Full Name | TINA JORDAN |
| Credential | FNP-C |
| Practice Address |
3 Richland Medical Park Dr Ste 120 Columbia SC 29203-6850 |
| Mailing Address |
Po Box 743904 Atlanta GA 30374-3904 |
| Practice Telephone | 8034348866 |
| Practice Fax Number | 8039333049 |
| Mailing Telephone | 8032967320 |
| Mailing Fax Number | 8032967330 |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 22875 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | APRN9409068 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE | IQ167Z | 01 |
| FL | 016957700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699899773 | Tina Jordan | Registered Nurse | 47 Aegina Ct, Tinley Park, IL 60477-4825 | 2007-03-16 |
| 1255703088 | Tina Jordan | Nurse Practitioner | 101 Deluxe Cir, Suite B, Thomaston, GA 30286-3030 | 2015-10-20 |
| 1699110940 | Tina Jordan | Occupational Therapy Assistant | 307 Main St, Lander, WY 82520-3101 | 2013-04-30 |
| 1831477595 | Tina Marie Jordan | Massage Therapist | 4640 Lipscomb St Ne, Suite 16, Palm Bay, FL 32905-2986 | 2011-07-29 |
| 1194918912 | Tina R Jordan | Counselor | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-08-24 |
| Street Address |
3 RICHLAND MEDICAL PARK DR STE 120 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-6850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265470140 | Gerald Bertiger | Internal Medicine | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2006-06-03 |
| 1053956474 | Sarah Barrett | Physician Assistant | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2019-11-08 |
| 1043784911 | Monica Lewis Culler | Nurse Practitioner | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2019-01-14 |
| 1912473570 | Lauren Elizabeth Mckinney | Physician Assistant | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203 | 2018-10-22 |
| 1205302072 | Yvannah Mae Garcia | Physician Assistant | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2018-10-19 |
| 1093003394 | Sumyra Kachru | Internal Medicine | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2011-07-20 |
| 1255562492 | Farzin Rashti | Internal Medicine | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2009-08-05 |
| 1063667608 | Hamza Khalid | Internal Medicine | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2008-11-24 |
| 1861697740 | Michael Courtney Windham | Internal Medicine | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2007-06-19 |
| 1841211687 | Navid Madani | Internal Medicine | 3 Richland Medical Park Dr Ste 120, Columbia, SC 29203-6850 | 2006-07-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806551 | Pamela Louise Smith | Nurse Practitioner | 1605 E Broadway Ste 100, Columbia, MO 65201-8023 | 2020-09-17 |
| 1518572353 | Lucretia D Sanders | Nurse Practitioner | 4201 Grand St Apt L, Columbia, SC 29203-6668 | 2020-09-09 |
| 1629698485 | Abigayle Idora Colon | Nurse Practitioner | 55 Burnett Rd, Columbia, KY 42728-9441 | 2020-04-22 |
| 1245864321 | Mh Health Care Services, PC | Nurse Practitioner | 400 Laurel St Lowr Level, Columbia, SC 29201-2281 | 2020-02-27 |
| 1649801994 | Jennifer Turner | Nurse Practitioner | 1220 Hardison Rd, Columbia, TN 38401-1350 | 2020-01-27 |
| 1700429453 | Tyease Mosley | Nurse Practitioner | 4611 Hard Scrabble Rd Ste 189, Columbia, SC 29229-8584 | 2019-10-25 |
| 1164985834 | Rameka M Reed | Nurse Practitioner | 2301 Blue Ridge Ter, Columbia, SC 29203-1303 | 2019-04-10 |
| 1366917924 | Brittney Nichole Frazier | Nurse Practitioner | 3020 Sunset Blvd West Columbia Sc 29169, Columbia, SC 29203-2920 | 2018-10-10 |
| 1295224871 | Palmetto Health - University of South Carolina Medical Group | Nurse Practitioner | 2113 Adams Grv Ste 200, Columbia, SC 29203-6957 | 2018-05-09 |
| 1730698580 | Jennifer Moon Bailey | Nurse Practitioner | 237 Longtown Rd, Columbia, SC 29229-8550 | 2017-09-25 |
| Find all providers in COLUMBIA | ||||
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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.