STEPHANIE JORDAN (NPI# 1720495260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720495260 |
| Entity Type | Individual |
| Full Name | STEPHANIE JORDAN |
| Practice Address |
9500 Campcreek Rd Lucasville OH 45648 |
| Practice Telephone | 7409814844 |
| Mailing Telephone | 7409814844 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 2527902 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2527902 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016972 | Stephanie Lynn Jordan | Technician | 7410 W Warren Cir Apt 1205, Lakewood, CO 80227-2695 | 2020-09-07 |
| 1477180826 | Stephanie Jordan | Nurse Practitioner | 22 Cranberry Rd, Plymouth, MA 02360-2857 | 2020-03-25 |
| 1942869318 | Stephanie Jordan | Counselor | 16 Center St Ste 517, Northampton, MA 01060 | 2019-06-10 |
| 1598809576 | Stephanie Jordan | Psychologist | 7390 W Sahara Ave, Suite 235, Las Vegas, NV 89117-2763 | 2007-02-16 |
| 1669958419 | Stephanie Elizabet Jordan | Counselor | 44 Good Counsel Dr, Mankato, MN 56001-6599 | 2018-07-16 |
| 1730686411 | Stephanie R Jordan | Social Worker | 13422 Kinsman Rd, Cleveland, OH 44120-4410 | 2018-04-10 |
| 1548662067 | Stephanie Lynn Jordan | Speech-Language Pathologist | 185 Charlois Blvd, Winston Salem, NC 27103 | 2014-09-16 |
| 1972918779 | Stephanie F Jordan | Nurse Practitioner | 6400 E Broad St, Suite 200, Columbus, OH 43213-1505 | 2014-07-01 |
| 1730590449 | Stephanie Jordan | Counselor | 861 Corporate Dr Ste 101, Lexington, KY 40503-5432 | 2014-05-15 |
| 1881973048 | Stephanie Sue Jordan | Speech-Language Pathologist | 5505 Grover St, Omaha, NE 68106-3718 | 2011-08-05 |
| Street Address |
9500 CAMPCREEK RD |
| City | LUCASVILLE |
| State | OH |
| Zip Code | 45648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558762138 | Cobra Pharmacy, LLC | Pharmacy | 37 C Lucasville-minford Road, Lucasville, OH 45648 | 2014-09-15 |
| 1366842221 | Premier Therapy & Health Centers, Inc. | Clinic/Center | 10606 U.S. 23, Lucasville, OH 45648 | 2014-08-28 |
| 1851630255 | Amy D Reeder | Occupational Therapy Assistant | 10098a Big Bearcreek, Lucasville, OH 45648 | 2013-02-05 |
| 1033458567 | Christopher E Holbrook Sr. | Durable Medical Equipment & Medical Supplies | 10324 Us Rte 23, Lucasville, OH 45648 | 2013-02-04 |
| 1366735953 | Health Maintenance Partners, Inc. | Clinic/Center | 10701 Us 23 South, Lucasville, OH 45648 | 2011-05-16 |
| 1154552271 | Dianne N Bragdon | Licensed Practical Nurse | 115 Borders Road, Lucasville, OH 45648 | 2009-08-06 |
| 1134368459 | Friends of Good Shepherd Manor | Intermediate Care Facility, Mentally Retarded | 374 Good Manor Rd, Lucasville, OH 45648 | 2009-02-10 |
| 1366688897 | Scioto Ambulance District | Ambulance | 7106 Big Bear Creek Road, Lucasville, OH 45648 | 2009-01-06 |
| 1831311422 | Cheryl Annette Frazier | Licensed Practical Nurse | 763 Dewey Ext, Lucasville, OH 45648 | 2007-05-03 |
| 1457576522 | Christina Marie Miller | Home Health Aide | 316 Luckett Rd, Lucasville, OH 45648 | 2007-04-16 |
| Find all providers in zip 45648 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598977431 | William Ernest Goodson | Contractor | 11258 State Route 348, Lucasville, OH 45648-8971 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487469 | Ingrid York | Contractor | 331 N Walnut St, Ravenna, OH 44266-2325 | 2020-11-07 |
| 1952902538 | Robert Brett | Contractor | 1825 Bur Oak Dr, Westlake, OH 44145-6851 | 2020-11-02 |
| 1588264204 | Jennifer Ann Scholl | Contractor | 2551 Hilton Dr Apt 1, Dayton, OH 45409-1822 | 2020-10-30 |
| 1770183899 | Angela Lakersha Martin | Contractor | 2810 Cyclorama Dr, Cincinnati, OH 45211-8330 | 2020-10-28 |
| 1992303622 | Deborah L Smith | Contractor | 11 E Randy St, New Franklin, OH 44203-4820 | 2020-10-14 |
| 1396343539 | Nijah Nicole Williams | Contractor | 1922 Acorn Dr, Cincinnati, OH 45231-5201 | 2020-10-10 |
| 1750988135 | Willis Amweg | Contractor | 7514 Sawbury Ct, Columbus, OH 43235-1855 | 2020-10-08 |
| 1811594476 | William H Goodson | Contractor | 2288 Tatman Coe Rd, Mc Dermott, OH 45652-8902 | 2020-10-07 |
| 1609473552 | Monica Adesuwa Triplett | Contractor | 1430 Parkside Blvd, Toledo, OH 43607-1507 | 2020-10-05 |
| 1427665827 | Stephane C Cross | Contractor | 775 Bridgeport Ave Apt 306, Streetsboro, OH 44241-4058 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | LUCASVILLE |
| Zip Code | 45648 |
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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.