JORDAN ANDERSON (NPI# 1881013357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881013357 |
| Entity Type | Individual |
| Full Name | JORDAN ANDERSON |
| Credential | RD, LD |
| Practice Address |
1401 W Agency Rd West Burlington IA 52655-1659 |
| Practice Telephone | 3197684100 |
| Practice Fax Number | 3197684160 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 072310 | IA | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841823515 | Jordan Marquis Anderson | Counselor | 694 Hwy #4 E, Holly Springs, MS 38635 | 2020-02-20 |
| 1336709377 | Jordan Christine Anderson | Pharmacist | 183 Center St, Bangor, ME 04401-4839 | 2019-06-20 |
| 1013344498 | Jordan Anderson | Dentist | 5807 Nw 166th St, Ridgefield, WA 98642-8553 | 2013-10-01 |
| 1811261092 | Jordan Allen Anderson | Specialist/Technologist | 7 Happ Road, New Trier Township High School, Northfield, IL 60093 | 2012-03-06 |
| 1083220446 | Jordan Anderson | Behavior Technician | 800 S Broadway Ste 310, Walnut Creek, CA 94596-5218 | 2020-09-21 |
| 1952928624 | Jordan Anderson | Physical Therapist | 2131 S Business Dr, Sheboygan, WI 53081-5656 | 2020-06-29 |
| 1770117210 | Jordan Anderson | Pharmacist | 9527 S 27th St, Franklin, WI 53132-9533 | 2020-02-24 |
| 1568095230 | Jordan Paige Anderson | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-02-20 |
| 1558928861 | Jordan Lynn Anderson | Case Manager/Care Coordinator | 4919 Canal St Ste 203, New Orleans, LA 70119-5878 | 2019-05-22 |
| 1003386269 | Jordan Anderson | Occupational Therapist | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2018-11-30 |
| Street Address |
1401 W AGENCY RD |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730186933 | Craig Alan Bottke | Orthopaedic Surgery | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2005-07-01 |
| 1083234660 | Michelle Lynn Mcdowell | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-23 |
| 1891314571 | Andrea Ruth Skifstad | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-13 |
| 1518586676 | Christopher Michael Kipp | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-09 |
| 1831718964 | Ashley Ann Ohern | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-09 |
| 1992324107 | Joyce Ann Wegmann | Speech-Language Pathologist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-09 |
| 1245859339 | Velma Faye Johnson | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2020-04-09 |
| 1235610296 | Sara Lynn Ragar | Physical Therapist | 1401 W Agency Rd, West Burlington, IA 52655 | 2018-08-27 |
| 1275988347 | Lia Marie Grogan | Physician Assistant | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2016-04-26 |
| 1225454044 | Scott M Gleason | Orthopaedic Surgery | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2014-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| Find all providers in zip 52655 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1598190035 | Emily Morton | Dietitian, Registered | 1401 W Agency Rd, Wellness Plaza, West Burlington, IA 52655-1659 | 2013-09-03 |
| 1376830166 | Katherine Elizabeth Hennemann | Dietitian, Registered | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2011-06-30 |
| 1780842583 | Kimberly Jeanne Johs | Dietitian, Registered | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2008-05-28 |
| 1609054568 | Kathryn Ann Schmidt | Dietitian, Registered | 1401 W Agency Rd, West Burlington, IA 52655-1659 | 2008-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901803 | Sara Marie Tefft | Dietitian, Registered | 2150 Ne 18th St Unit 96, Grimes, IA 50111-4735 | 2020-10-29 |
| 1124625660 | Madison Hemer | Dietitian, Registered | 311 South Clark Street, Carroll, IA 51401 | 2020-10-07 |
| 1255938213 | Annette Arnaud Aljets | Dietitian, Registered | 63368 190th Ave, Pomeroy, IA 50575-8051 | 2020-10-02 |
| 1649885724 | Ellen Elizabeth Przybyszewski | Dietitian, Registered | 115 Crystal St Unit 303, Ames, IA 50010-8317 | 2020-09-15 |
| 1528678745 | Laurynn Elizabeth Verry | Dietitian, Registered | 10432 Dorset Dr Unit 17, Johnston, IA 50131-2363 | 2020-08-03 |
| 1679182224 | Allison Ann Hoepker | Dietitian, Registered | 300 Sw 5th St Apt A408, Des Moines, IA 50309-4679 | 2020-07-29 |
| 1124636980 | Lisa Nolting | Dietitian, Registered | 1431 Arthur Dr, Ames, IA 50010-5117 | 2020-07-17 |
| 1083231609 | John Vendelboe Nielsen | Dietitian, Registered | 507 Nw 10th St, Ankeny, IA 50023-4203 | 2020-06-30 |
| 1417596677 | Kylie Regensburger | Dietitian, Registered | 509 Se Michael Dr, Ankeny, IA 50021-6429 | 2020-01-04 |
| 1205475456 | Mackenzie Woolwich | Dietitian, Registered | 225 Prairie View Dr Apt 8235, West Des Moines, IA 50266-7130 | 2020-01-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
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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.