MRS. SUSAN STARBUCK JORDAN (NPI# 1427047331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427047331 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN STARBUCK JORDAN |
| Credential | RNC, FNP |
| Practice Address |
1039 Executive Dr Ste 101 Hixson TN 37343-7900 |
| Mailing Address |
4976 Alpha Ln Hixson TN 37343-5470 |
| Practice Telephone | 4238740125 |
| Practice Fax Number | 4238740154 |
| Mailing Telephone | 4233080280 |
| Mailing Fax Number | 4233080281 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2019-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN0000077876 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000006289 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 103I501689 | 05 | |
| TN | Q008621 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407275670 | Susan Louise Jordan | Behavioral Analyst | 284 Crestwood Ct, Fishkill, NY 12524-3309 | 2014-04-15 |
| 1982840963 | Susan Jordan | Licensed Practical Nurse | 55 Heather Ln, Levittown, NY 11756-3307 | 2008-12-23 |
| 1861511438 | Susan Beth Jordan | Behavioral Analyst | 7839 University Ave, La Mesa, CA 91942-0476 | 2007-03-28 |
| 1093898926 | Susan Kleck Jordan | Counselor | 7701 E 1st Pl, Suite D, Denver, CO 80230-6920 | 2006-10-23 |
| 1073613709 | Susan A Jordan | Dietitian, Registered | 1010 South, 7650 East, Crow Agency, MT 59022-0022 | 2006-09-23 |
| 1003913799 | Susan E. Jordan | Nurse Practitioner | 707 N Logan Avenue, Danville Polyclinic, Ltd., Danville, IL 61832-4360 | 2006-09-17 |
| 1952361776 | Susan Anne Jordan | Family Medicine | 1526 E. Main Street, Melbourne, AR 72556 | 2006-03-24 |
| 1871580506 | Susan K Jordan | Nurse Practitioner | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1497090369 | Susan P Jordan | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-12-04 |
| 1295018653 | Susan Jordan | Nurse Practitioner | 360 Peak One Drive, Suite #350, Frisco, CO 80443-0738 | 2011-09-22 |
| Street Address |
1039 EXECUTIVE DR STE 101 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235648783 | Brittany Craft Williams | Nurse Practitioner | 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 | 2017-09-28 |
| 1922523703 | Sarah Morgan Lee Bowman | Nurse Practitioner | 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 | 2017-08-14 |
| 1760915383 | Meredith Rissler Stroud | Pediatrics | 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 | 2017-04-10 |
| 1043450620 | Christy Dawn Tittsworth | Nurse Practitioner | 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822320 | Sabin Michelle Von Almen | Nurse Practitioner | 2051 Hamill Rd Ste 107, Hixson, TN 37343-4653 | 2019-03-26 |
| 1013416973 | Brandi Hoback | Nurse Practitioner | 2051 Hamill Rd Ste 204, Hixson, TN 37343-4653 | 2018-02-06 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1255864062 | Vanessa Moser | Nurse Practitioner | 1649 Kamin Rd, Hixson, TN 37343-3279 | 2017-04-07 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| 1487955241 | Teresa Ann Novak | Nurse Practitioner | 2051 Hamill Rd Ste 302, Hixson, TN 37343-4653 | 2010-11-10 |
| 1164745261 | Connie Michele Pierce | Nurse Practitioner | 4976 Alpha Ln, Hixson, TN 37343-5470 | 2010-03-04 |
| 1639361579 | Brenda Sue Borkgren | Nurse Practitioner | 1017 Executive Dr Ste 101, Hixson, TN 37343-7911 | 2007-08-14 |
| 1508892415 | Angela D Thompson | Nurse Practitioner | 5120 Highway 153, Hixson, TN 37343-4520 | 2006-06-23 |
| 1467405092 | Ada I Batista-baron | Nurse Practitioner | 5000 Alpha Ln, Hixson, TN 37343-4054 | 2006-05-17 |
| Find all providers in HIXSON | ||||
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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.