CAROLYN JORDAN


Address: 236 Highland Ave, Somerville, MA 02143-1495
Phone: 6175916300

CAROLYN JORDAN (NPI# 1649344094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649344094
Entity Type Individual
Full Name CAROLYN JORDAN
Credential APRN
Practice Address 236 Highland Ave
Somerville
MA 02143-1495
Practice Telephone 6175916300
Mailing Telephone 6175916300
Enumeration Date 2006-11-20
Last Update Date 2012-02-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
RN256168 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA 110076848 05

Other Providers CAROLYN JORDAN

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1518008713 Carolyn Lillian Jordan Case Manager/Care Coordinator 1 Whitman Rd, Clarke School East, Canton, MA 02021-2707 2007-02-09
1447340393 Carolyn Diana Jordan Pathology University of Washington Medical Ctr, 1959 Ne Pacific St, Seattle, WA 98195-0001 2006-10-13
1285725911 Carolyn M Jordan Pharmacist 10 N Greene St, Baltimore, MD 21201-1524 2006-09-27

Office Location

Street Address 236 HIGHLAND AVE
City SOMERVILLE
State MA
Zip Code 02143-1495

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831160860 Daphne Eleanor Schneider Family Medicine 236 Highland Ave, 2nd Floor, Somerville, MA 02143-1495 2006-01-28
1184287526 Silvia Travis Counselor 236 Highland Ave, Somerville, MA 02143-1495 2019-04-22
1952810673 Emily Katherine Thomas Registered Nurse 236 Highland Ave, Somerville, MA 02143-1495 2017-09-26
1306376116 Jeannette Marie Adelsberger Optometrist 236 Highland Ave, Somerville, MA 02143 2017-06-14
1902344302 Ashley Lauren Paine Optometrist 236 Highland Ave, Somerville, MA 02143-1495 2017-02-06
1649630278 Pannee Loughran Licensed Practical Nurse 236 Highland Ave, Somerville, MA 02143-1495 2016-02-24
1023482858 Renee Christine Johnson Registered Nurse 236 Highland Ave, Somerville, MA 02143-1495 2015-11-17
1801263280 Liza Hoffman Social Worker 236 Highland Ave, Somerville, MA 02143-1495 2015-09-01
1962833947 Janaina Zavolly Licensed Practical Nurse 236 Highland Ave, Somerville, MA 02143-1495 2013-12-02
1508202474 Barbara Roller Clinic/Center 236 Highland Ave, Somerville, MA 02143-1495 2013-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245843598 Sidney Marie Joines Counselor New Washington St, Somerville, MA 02143 2020-08-26
1487295887 Tejasvini Goud Jangam Dentist 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 2019-10-07
1265900658 Latoya Lewis Massage Therapist 343 Medford Street Suite 4b, Somerville, MA 02143 2018-11-05
1982181053 Robert Lafollette Social Worker 61 Inner Belt Rd, Somerville, MA 02143 2018-07-23
1013405471 Roseli De Fatima Schimanski Acupuncturist 10 Clark St #3, Somerville, MA 02143 2018-05-01
1255840070 Maggie Kinser Counselor 366 Somerville Avenue, Somerville, MA 02143 2017-09-25
1497273742 Isabelle Hackett Social Worker 17 Inner Belt Rd, Somerville, MA 02143 2017-09-07
1952824666 Manuel Cantu Counselor 17 Inner Belt Road, Somerville, MA 02143 2017-07-25
1649710963 Shakemia Shaw Licensed Practical Nurse 230 Highland Avenue, Somerville, MA 02143 2017-03-06
1245600501 Libby Vilner Social Worker 12 Tyler St., Somerville, MA 02143 2015-09-30
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831579697 Advance Hospital Care, LLC Nurse Practitioner 110 Rehill Ave, Somerville, NJ 08876-2519 2015-06-05
1851644223 Maria Pia Terra Nurse Practitioner 300 Broadway, Somerville, MA 02145-2935 2012-10-22
1891055372 Lindsay Flynn Campbell Nurse Practitioner 5 Middlesex Ave, Somerville, MA 02145-1102 2012-05-18
1386901080 Robert Jason Hamilton Nurse Practitioner 315 E Main St, Somerville, NJ 08876-3109 2012-04-19
1669780417 Jacqueline Angotti Nurse Practitioner 110 Rehill Ave, Somerville, NJ 08876-2519 2010-09-15
1124263918 Patricia Molinelli Nurse Practitioner 80 West End Avenue, Somerville, NJ 08876 2008-12-08
1679723969 Gloria P Picariello Nurse Practitioner 62 E Main St, Somerville, NJ 08876-2312 2008-09-24
1689823114 Virginia E Gorman Nurse Practitioner 62 E Main St, Somerville, NJ 08876-2312 2008-09-09
1932391182 Jessica H Ochs Nurse Practitioner 40 Holland St, Harvard Vanguard Medical Associates - Urgent Care Dept, Somerville, MA 02144-2705 2007-08-13
1396961934 Anne Kofke Nurse Practitioner 120 Beacon St, Cha - House Calls Program, Somerville, MA 02143-4370 2007-04-18
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Competitor

Search similar providers

City SOMERVILLE
Zip Code 02143

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Dataset Information

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.

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