JORDAN SMITH (NPI# 1841816105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841816105 |
| Entity Type | Individual |
| Full Name | JORDAN SMITH |
| Practice Address |
7101 Bryant Irvin Rd Unit 34506 Fort Worth TX 76162-5009 |
| Practice Telephone | 8173681980 |
| Practice Fax Number | 8882061272 |
| Mailing Telephone | 8173681980 |
| Mailing Fax Number | 8882061272 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212751 | Jordan C Smith | Pharmacist | 105 W 8th Ave # 350e, Spokane, WA 99204-2302 | 2020-07-08 |
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1447815816 | Jordan Nichole Smith | Student in an Organized Health Care Education/Training Program | 4061 Idewild Loop # D403, Coeur D Alene, ID 83814-7091 | 2019-05-01 |
| 1447734579 | Jordan Smith | Hearing Instrument Specialist | 843 W Summit Ave, Muskegon, MI 49441-4047 | 2018-09-25 |
| 1477055366 | Jordan A Smith | Chiropractor | 7604 Ne 5th Ave Ste 109, Vancouver, WA 98665-8200 | 2018-03-06 |
| 1235656919 | Jordan Smith | Licensed Practical Nurse | 3957 Dean Rd, Marion, NY 14505 | 2017-08-24 |
| 1407171606 | Jordan D Smith | Pharmacist | 4 Long Cove Ct, Greensboro, NC 27407-5843 | 2010-03-30 |
| 1225292139 | Jordan D Smith | Optometrist | 1205 Old Highway 127 S, Jamestown, TN 38556-5609 | 2008-07-10 |
| 1013514553 | Jordan Claire Smith | Nurse Practitioner | 2550 Flowood Dr Ste 300, Flowood, MS 39232-9306 | 2020-10-07 |
| 1851905509 | Jordan Brent Smith | Technician, Other | 474 W 200 N # 300, St George, UT 84770-4505 | 2020-09-01 |
| Street Address |
7101 BRYANT IRVIN RD UNIT 34506 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76162-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134310 | Monitor Professionals Pa | Specialist | 7101 Bryant Irvin Road, #34504, Ft. Worth, TX 76162-5009 | 2018-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013043 | Shayla H Rumsey | Counselor | 1137f Burton Hill Rd, Fort Worth, TX 76114-4530 | 2020-11-05 |
| 1194326157 | Phillip Alexander Smith | Pharmacist | 5261 Smokey Ridge Dr, Fort Worth, TX 76123-2896 | 2020-11-05 |
| 1134720337 | Texas Wisdom Teeth Specialists | Dentist | 8409 W Cleburne Rd, Fort Worth, TX 76123-1421 | 2020-11-04 |
| 1356942544 | Abigail Ibitoye | Counselor | 6300 Ridglea Pl Ste 425, Fort Worth, TX 76116-5704 | 2020-11-04 |
| 1174124283 | Natasha Monique Miller | Home Health | 2503 Via Venicia Apt 3223, Fort Worth, TX 76109-6535 | 2020-11-04 |
| 1639770142 | Kaitlyn Hazlewood | Speech-Language Pathologist | 7204 Ellis Rd, Fort Worth, TX 76112-4302 | 2020-11-03 |
| 1528669843 | Rubilene Spinks | Pharmacist | 6300 Oakmount Blvd, Fort Worth, TX 76132 | 2020-11-03 |
| 1770184020 | Kara Fenceroy | Family Medicine | 5425 Rolling Meadows Dr, Fort Worth, TX 76123-2836 | 2020-11-03 |
| 1760083364 | Chidinma U Oke | Registered Nurse | 452 Little Valley Ct, Fort Worth, TX 76108-4614 | 2020-11-02 |
| 1659972230 | Covetrus Pharmacy Services, LLC | Pharmacy | 14800 Faa Blvd Ste 150, Fort Worth, TX 76155-2252 | 2020-11-02 |
| Find all providers in FORT WORTH | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649779943 | Carmela A Solis | Specialist/Technologist, Other | 500 Throckmorton Street Unit 3309, Fort Worth, TX 76102 | 2018-02-02 |
| 1245743061 | Patrick A Lastimosa | Specialist/Technologist, Other | 500 Throckmorton St Apt 3309, Fort Worth, TX 76102-3820 | 2017-11-15 |
| 1336679638 | Hypnic Diagnostics LLC | Specialist/Technologist, Other | 6387 Camp Bowie Blvd Ste B, Pmb #324, Fort Worth, TX 76116-5486 | 2017-06-19 |
| 1366972697 | Shortwave Diagnostics LLC | Specialist/Technologist, Other | 3501 Sycamore School Rd Ste 125, Pmb #312, Fort Worth, TX 76133-7826 | 2017-06-19 |
| 1780047852 | Mustang Neurodiagnostics, Pllc | Specialist/Technologist, Other | 8553 N Beach St # 394, Fort Worth, TX 76244-4919 | 2016-04-05 |
| 1740662667 | Davinci Neuromonitoring LLC | Specialist/Technologist, Other | 5573 Seabury Dr, Fort Worth, TX 76137-5393 | 2015-06-27 |
| 1083019095 | Nexus Diagnostics LLC | Specialist/Technologist, Other | 964 Jockey Club Ln, Fort Worth, TX 76179-2358 | 2014-11-03 |
| 1982907143 | Neuro Diagnostic Home Services, LLC | Specialist/Technologist, Other | 1120 S Freeway, Suite 204, Fort Worth, TX 76104-5064 | 2010-12-09 |
| 1881230670 | De Anne Simon | Specialist/Technologist, Other | 201 Main St Ste 600, Fort Worth, TX 76102-3110 | 2019-11-27 |
| 1023551397 | Pinnacle Neuromonitoring, LLC | Specialist/Technologist, Other | 5573 Seabury Dr, Fort Worth, TX 76137-5393 | 2016-11-18 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76162 |
Please comment or provide details below to improve the information on JORDAN SMITH.
| 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.