MR. JORDAN ALLEN (NPI# 1871959320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871959320 |
| Entity Type | Individual |
| Full Name | MR. JORDAN ALLEN |
| Credential | MS,ATC,LAT |
| Practice Address |
1111 Forest Park St Lakeland FL 33803-1832 |
| Mailing Address |
2935 Woodland Hills Ave Lakeland FL 33803-4141 |
| Practice Telephone | 8636882771 |
| Mailing Telephone | 8632874624 |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL3867 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154958452 | Jordan Thomas Allen | Student in an Organized Health Care Education/Training Program | 3110 Maccorkle Ave Se, Charleston, WV 25304-1210 | 2020-03-25 |
| 1316427818 | Jordan L Allen | Social Worker | 299 Cramer Creek Ct, Dublin, OH 43017-2586 | 2018-08-15 |
| 1053800904 | Jordan Kit Allen | Dentist | 319 Colegate Dr, Marietta, OH 45750-9558 | 2018-05-07 |
| 1407363153 | Jordan Allen | Nurse Practitioner | 1526 Lombard St, Philadelphia, PA 19146-1625 | 2018-01-03 |
| 1245626266 | Jordan Luke Allen | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2015-04-07 |
| 1740624725 | Jordan Allen | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-04-22 |
| 1225324247 | Jordan Allen | Acupuncturist | 1804 Cable St, Suite 'b', San Diego, CA 92107-3141 | 2011-06-28 |
| Street Address |
1111 FOREST PARK ST |
| City | LAKELAND |
| State | FL |
| Zip Code | 33803-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861964819 | Steven P Agelidis | Counselor | 2020 S. Florida Ave, Suite 207, Lakeland, FL 33803 | 2018-12-31 |
| 1902316201 | Kesara Mai Ngam | Massage Therapist | 117 West Oak Drive, Lakeland, FL 33803 | 2017-10-02 |
| 1396260618 | Suncoast Behavioral Solutions, LLC | Behavioral Analyst | 1920 E Edgewood Dr Apt A8, Lakeland, FL 33803 | 2017-08-08 |
| 1316484413 | Daniel Jacob Stahl | Behavior Technician | 145 East Edgewood Drive, Lakeland, FL 33803 | 2017-01-26 |
| 1780037002 | Shelley Stettinius | Behavioral Analyst | 145 East Edgewood Dr, Lakeland, FL 33803 | 2016-07-21 |
| 1396106654 | Highlands Occupational Therapy, Inc | Occupational Therapist | 2000 East Edgewood Drive, Suite 114, Lakeland, FL 33803 | 2016-03-15 |
| 1003289570 | Jayna Dinsmore | Physical Therapy Assistant | 321 Imperial Blvd, D38, Lakeland, FL 33803 | 2015-11-05 |
| 1093187429 | Healthstat Wellness Polk-lakeland | Preventive Medicine | 3215 Winter Lake Road, Lakeland, FL 33803 | 2015-10-26 |
| 1962812545 | Florida Presbyterian Homes, Inc | Nursing Facility/Intermediate Care Facility | 901 Lakeside Avenue, Lakeland, FL 33803 | 2014-05-05 |
| 1710316336 | Trinity Endodontics | Health Maintenance Organization | 1602 S. Florida Ave, Ste #1, Lakeland, FL 33803 | 2013-11-04 |
| Find all providers in zip 33803 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588272702 | D'ondra Loyd | Specialist/Technologist | 8742 Fort Socrum Village Pl, Lakeland, FL 33810-0332 | 2020-07-14 |
| 1558820290 | Jennifer Sullivan | Specialist/Technologist | 6799 Krenson Oaks Cir, Lakeland, FL 33810-2157 | 2019-03-12 |
| 1487127791 | Tiffany Lauren Ally | Specialist/Technologist | 5473 Pebble Beach Dr, Lakeland, FL 33812-1216 | 2019-01-09 |
| 1902353626 | Armando Campos | Specialist/Technologist | 111 Lake Hollingsworth Dr # 4311, Lakeland, FL 33801-5607 | 2016-09-10 |
| 1780059048 | Robert Guertin IIi | Specialist/Technologist | 4747 Highlands Place Dr, Lakeland, FL 33813-2162 | 2015-12-11 |
| 1023481926 | Joseph D'alessandro | Specialist/Technologist | 111 Lake Hollingsworth Dr Box 4334, Lakeland, FL 33801 | 2015-11-02 |
| 1578933651 | Christopher Horton | Specialist/Technologist | 4355 Corporate Ave Apt 149, Lakeland, FL 33809-4099 | 2015-10-01 |
| 1275919532 | Danielle Kristine Perrotti | Specialist/Technologist | 1000 Longfellow Blvd, Lakeland, FL 33801-6034 | 2015-08-09 |
| 1598141459 | Dustin Campbell | Specialist/Technologist | 2611 Jennifer Dr, Lakeland, FL 33810-5130 | 2015-08-03 |
| 1154504066 | Joann Hauser | Specialist/Technologist | 1819 Meadowbrook Ave, Lakeland, FL 33803-2536 | 2007-12-13 |
| Find all providers in LAKELAND | ||||
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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.