JORDAN ELSE (NPI# 1821497116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821497116 |
| Entity Type | Individual |
| Full Name | JORDAN ELSE |
| Credential | AGPCNP-BC |
| Practice Address |
4870 W Clark Rd Ste 201 Ypsilanti MI 48197-1104 |
| Practice Telephone | 7344346600 |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704278930 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4870 W CLARK RD STE 201 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245205541 | Emily W Bandera | Allergy & Immunology | 4870 W Clark Rd, # 202, Ypsilanti, MI 48197-1104 | 2006-02-21 |
| 1538517032 | Jennifer Aldea | Physician Assistant | 4870 W Clark Rd, Suite #201, Ypsilanti, MI 48197-1104 | 2016-05-25 |
| 1255647350 | Michigan Hospice,inc. | Hospice Care, Community Based | 4870 W Clark Rd, Suite 100b, Ypsilanti, MI 48197-1104 | 2010-08-26 |
| 1740509116 | Physician Group | General Practice | 4870 W Clark Rd, Ste 100a, Ypsilanti, MI 48197-1104 | 2010-05-25 |
| 1053639146 | Midwest Travelers Health Service | Internal Medicine | 4870 W Clark Rd, Suite 204, Ypsilanti, MI 48197-1104 | 2010-05-13 |
| 1790017416 | Charles P Craig Md PC | Internal Medicine | 4870 W Clark Rd, Suite 204, Ypsilanti, MI 48197-1104 | 2010-02-05 |
| 1013140573 | Jay Ambey LLC | Pharmacy | 4870 W Clark Rd, Suite#108, Ypsilanti, MI 48197-1104 | 2009-09-01 |
| 1053577536 | Advanced Asthma Allergy & Immunology Care PC | Allergy & Immunology | 4870 W Clark Rd, Suite 202, Ypsilanti, MI 48197-1104 | 2008-08-04 |
| 1861650137 | Charles Krasnow | Psychiatry & Neurology | 4870 W Clark Rd, Suite #101, Ypsilanti, MI 48197-1104 | 2008-05-23 |
| 1013180900 | Ben Gold, Md, PC | Allergy & Immunology | 4870 W Clark Rd, Suite 203, Ypsilanti, MI 48197-1104 | 2008-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151959 | Kayrissa Leigh Brewster | Nurse Practitioner | 6363 Waterside Dr, Ypsilanti, MI 48197-7907 | 2019-09-03 |
| 1447754627 | Kayla Garrett | Nurse Practitioner | 9278 Normandy Ln, Ypsilanti, MI 48197-9284 | 2018-03-21 |
| 1891214771 | Lisa Cantu | Nurse Practitioner | 5301 E Huron River Dr Ste C-139, Ypsilanti, MI 48197-1051 | 2017-09-12 |
| 1881005908 | Jeremy Phillip Lapham | Nurse Practitioner | 7425 Willis Rd, Rm P114, Ypsilanti, MI 48197 | 2014-05-12 |
| 1912250242 | Brendalynn Ijeoma-ibe Lieberman | Nurse Practitioner | 840 Maus Avenue, Ypsilanti, MI 48198 | 2012-10-24 |
| 1396043626 | Jaquetta Marie Reeves | Nurse Practitioner | 7425 Willis Road, Room P114, Ypsilanti, MI 48197 | 2011-03-10 |
| 1174828446 | Alexandria Marie Sara | Nurse Practitioner | 5333 Mcauley Dr Rm 2110, Ypsilanti, MI 48197-1097 | 2011-01-18 |
| 1003066218 | Terri Lynn Ladwig | Nurse Practitioner | 5325 Elliott Dr. Michigan Heart, Ypsilanti, MI 48197-2982 | 2008-09-24 |
| 1821179946 | Darlene J Ledwon | Nurse Practitioner | 8744 Whittaker Road, Room 812, Ypsilanti, MI 48197 | 2006-10-17 |
| 1659933927 | Stacy Deckhart | Nurse Practitioner | 4940 W Clark Rd Ste 100, Ypsilanti, MI 48197-0860 | 2019-07-08 |
| Find all providers in YPSILANTI | ||||
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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.