MARY KATHERINE JORDAN (NPI# 1639477805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639477805 |
| Entity Type | Individual |
| Full Name | MARY KATHERINE JORDAN |
| Credential | CNA |
| Practice Address |
167 North Main Street Tuba City AZ 86045-0600 |
| Mailing Address |
Po Box 600 Tuba City AZ 86045-0600 |
| Practice Telephone | 9282832501 |
| Mailing Telephone | 9282832501 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | CNA1000005997 | AZ | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629518626 | Mary Elisabeth Jordan | Clinical Nurse Specialist | 4665 Main St Suite 2, Jasper, TN 37347 | 2017-02-24 |
| 1063712040 | Mary Elizabeth Jordan | Social Worker | 1551 Indian Hills Dr Ste 206, Sioux City, IA 51104-1857 | 2010-10-25 |
| 1912212457 | Mary E Jordan | Counselor | 14 Clara Dr Ste 3, Mystic, CT 06355-1973 | 2010-08-09 |
| 1417126350 | Mary A Jordan | Social Worker | 4 Pell Place, Pelham, NY 10803-1310 | 2008-02-25 |
| 1104002070 | Mary Ann Jordan | Registered Nurse | 24 Picket Ln, Centereach, NY 11720-2511 | 2008-01-10 |
| 1538284773 | Mary Elizabeth Jordan | Nurse Practitioner | 1717 Columbia Rd Nw, Washington, DC 20009-2803 | 2007-03-20 |
| 1508911132 | Mary C Jordan | Licensed Vocational Nurse | 7053 Milwood Ave, Canoga Park, CA 91303-2159 | 2007-01-24 |
| 1356410294 | Mary Catherine Jordan | Nurse Practitioner | 5455 Meridian Mark Rd., Ste. 400, Atlanta, GA 30342 | 2006-11-07 |
| 1275615437 | Mary Jan Jordan | Counselor | 536 Fireside Court, Suite D, Lawrence, KS 66049-2300 | 2006-10-19 |
| 1215017025 | Mary Louise Jordan | Licensed Practical Nurse | 1927 W Meinecke Ave, Milwaukee, WI 53206-2063 | 2006-10-16 |
| Street Address |
167 NORTH MAIN STREET |
| City | TUBA CITY |
| State | AZ |
| Zip Code | 86045-0600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912906645 | Thomas Joseph Peters | Orthopaedic Surgery | 167 North Main Street, Tuba City, AZ 86045-0600 | 2005-07-15 |
| 1134696412 | Young Chou | Pharmacist | 167 North Main Street, Tuba City, AZ 86045 | 2018-10-25 |
| 1447736186 | Kenneth Hale | Dentist | 167 North Main Street, Tuba City, AZ 86045 | 2018-07-16 |
| 1659868024 | Bradley Hilken | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-20 |
| 1811484314 | Elizabeth Sullivan | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-19 |
| 1093217945 | Scott Cerreta | Respiratory Therapist, Registered | 167 North Main Street, Po Box 600, Tuba City, AZ 86045-0600 | 2018-03-07 |
| 1821502287 | Rachel Dye | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-21 |
| 1467965319 | Amber Vaughn | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-14 |
| 1639682701 | Roselita Sloan | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-13 |
| 1306359518 | Debra Marshall | Registered Nurse | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-11-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
| 1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
| 1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
| 1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
| 1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
| 1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
| 1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
| 1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
| 1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
| 1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
| Find all providers in zip 86045 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922378124 | Harriet Ann Chee | Nurse's Aide | 167 N.main St., Tuba City, AZ 86045 | 2012-01-04 |
| 1760783401 | Tanya Eve Begay | Nurse's Aide | 167 N. Main St.., Tuba City, AZ 86045-0600 | 2010-11-11 |
| 1285140319 | Valencia Elva Ketchum | Nurse's Aide | 167 N Main Street, Po Box 600, Tuba City, AZ 86045-0600 | 2017-12-27 |
| 1740707579 | Tanya Secody | Nurse's Aide | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-08-23 |
| 1285150185 | Marie Villaricencio | Nurse's Aide | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-08-22 |
| 1700315967 | Shannon Jim | Nurse's Aide | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-06-09 |
| 1619405545 | Kimberly Ann Harvey | Nurse's Aide | 167 North Main Street, Tuba City, AZ 86045-0600 | 2017-05-23 |
| 1669917811 | Jacqueline Tracey | Nurse's Aide | 167 North Main Street, Tuba City, AZ 86045-0600 | 2016-12-27 |
| 1376087304 | Noelle Curley | Nurse's Aide | 167 North Main Street, Tuba City, AZ 86045-0600 | 2016-12-09 |
| 1982147252 | Mera Nez | Nurse's Aide | 167 North Main Street, Tuba City, AZ 86045-0600 | 2016-11-18 |
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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.