KELLY JORDAN (NPI# 1669647020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669647020 |
| Entity Type | Individual |
| Full Name | KELLY JORDAN |
| Practice Address |
420 Kellogg Ave Ames IA 50010-6226 |
| Mailing Address |
Po Box 1628 Ames IA 50010-1628 |
| Practice Telephone | 5152334930 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295178572 | Kelly E Jordan | Recreation Therapist | 21800 Celestial Cir, Pinckney, MI 48169-8765 | 2013-04-17 |
| 1356826325 | Kelly Jordan | Psychologist | 516 Mission House Ln, New Brighton, MN 55112-2571 | 2018-09-26 |
| 1124576426 | Kelly Jordan | Counselor | 51 Marina Blvd, Pittsburg, CA 94565-2068 | 2016-09-14 |
| 1083060396 | Kelly Jordan | Student in an Organized Health Care Education/Training Program | 747 52nd St, Oakland, CA 94609-1809 | 2016-05-05 |
| 1023377819 | Kelly Jean Jordan | Dental Hygienist | 2300 Lancaster Dr Ne, Salem, OR 97305-1223 | 2012-05-14 |
| 1467624809 | Kelly M Jordan | Physician Assistant | 4949 Harlem Rd, Amherst, NY 14226-2500 | 2008-03-26 |
| 1952501819 | Kelly E Jordan | Physical Therapist | 1610 Center St, Mobile, AL 36604-1512 | 2007-07-19 |
| Street Address |
420 KELLOGG AVE |
| City | AMES |
| State | IA |
| Zip Code | 50010-6226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265596381 | Kimberley Abbey | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2006-12-21 |
| 1730618810 | Mark Allen Dejong | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2017-06-12 |
| 1699206458 | Alyssa Logemann | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2017-03-23 |
| 1134669104 | Juliette Riancho | Marriage & Family Therapist | 420 Kellogg Ave, Ames, IA 50010-6226 | 2017-02-24 |
| 1568901148 | Sarah Zollar | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2017-02-16 |
| 1629429576 | William Mcghghy | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2016-06-22 |
| 1629432307 | Tresa Lathrop | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2016-04-08 |
| 1134581887 | Andrew Bradley | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2016-03-22 |
| 1275995037 | Robert Lutter | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2016-03-22 |
| 1336534015 | Patrick Harnish | Counselor | 420 Kellogg Ave, Ames, IA 50010-6226 | 2015-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851853063 | Eric Martin Mills | Social Worker | 320 South 17th Street, Ames, IA 50010 | 2019-04-05 |
| 1487147963 | Mcfarland Clinic, PC | Eyewear Supplier (Equipment, not the service) | 3500 University Blvd., Suite 1001, Ames, IA 50010 | 2018-06-11 |
| 1346733763 | Katelyn Elaine Holbrook | Occupational Therapist | 1915 Philadelphia Street, Ames, IA 50010 | 2018-06-11 |
| 1174030571 | Joshua B Hubbell | Peer Specialist | 527 E Lincoln Way #216, Ames, IA 50010 | 2018-01-08 |
| 1528426996 | Brandy Suzanne Walker | Occupational Therapist | 28201 550th Ave, Ames, IA 50010 | 2016-02-01 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1164708509 | North Central Iowa Mental Health Center Inc | Clinic/Center | 1801 20th St, Ames, IA 50010 | 2011-10-31 |
| 1669752226 | Ashley Rae Loeffelholz | Pharmacist | Nucara Pharmacy #28, 3600 University Blvd Suite 103, Ames, IA 50010 | 2011-08-26 |
| 1245544436 | Crawford Endodontics, Pllc | Dentist | 515 Grand Ave., Suite 102, Ames, IA 50010 | 2010-07-30 |
| 1023256708 | Donald Warren Powers | Family Medicine | 2538 Eisenhower, Ames, IA 50010 | 2009-02-03 |
| Find all providers in zip 50010 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053708578 | Valerie Stubbs | Counselor | 1525 Airport Rd Ste 100, Ames, IA 50010-8231 | 2015-04-22 |
| 1386086338 | Adrienne Rae Shrader | Counselor | 600 5th Street, Suite 200, Ames, IA 50010 | 2013-07-18 |
| 1538310446 | Resolutions Substance Abuse Services | Counselor | 103 East 6th St., Suite 105, Ames, IA 50010 | 2008-10-09 |
| 1811180698 | Amy Elizabeth Winters | Counselor | 113 Garden Rd, Ames, IA 50010-8595 | 2007-08-24 |
| 1528250552 | Hope Metheny | Counselor | 712 Burnett Ave, Ames, IA 50010-6128 | 2007-08-14 |
| 1902022320 | Robert E Thacker Jr. | Counselor | 223 S. Walnut Ave., Ames, IA 50010 | 2007-04-17 |
| 1063545259 | Asap Inc | Counselor | 207 Stanton Ave, Ames, IA 50014-7270 | 2007-03-14 |
| 1487706966 | Ryan Condon | Counselor | 1719 Duff Ave, Ames, IA 50010-5567 | 2007-01-17 |
| 1972652683 | Andrea D Dickerson | Counselor | 804 Kellogg Ave, Ames, IA 50010-6234 | 2007-01-10 |
| 1154947505 | Madeline Rivera | Counselor | 1619 S High Ave, Ames, IA 50010-8055 | 2020-06-22 |
| Find all providers in AMES | ||||
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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.