JORDAN FLATH


Address: 482 Black River Pkwy, Watertown, NY 13601-2416
Phone: 3157821777

JORDAN FLATH (NPI# 1891224457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891224457
Entity Type Individual
Full Name JORDAN FLATH
Credential LPN
Practice Address 482 Black River Pkwy
Watertown
NY 13601-2416
Practice Telephone 3157821777
Practice Fax Number 3157858628
Enumeration Date 2017-06-07
Last Update Date 2017-06-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse 328475-1 NY Nursing Service Providers

Office Location

Street Address 482 BLACK RIVER PKWY
City WATERTOWN
State NY
Zip Code 13601-2416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215990015 Donald W Mott Social Worker 482 Black River Pkwy, Watertown, NY 13601-2416 2006-04-11
1992353437 Ashlee Anne Weldon Case Manager/Care Coordinator 482 Black River Pkwy, Watertown, NY 13601-2416 2019-08-28
1982264727 Dari Frezzo Licensed Practical Nurse 482 Black River Pkwy, Watertown, NY 13601-2416 2019-06-14
1164994794 Desiree Michelle Torres Colon Case Manager/Care Coordinator 482 Black River Pkwy, Watertown, NY 13601-2416 2018-12-20
1457823171 Donny Joe Chouinard Case Manager/Care Coordinator 482 Black River Pkwy, Watertown, NY 13601-2416 2018-12-19
1568931293 Leon Lansing Dickinson Counselor 482 Black River Pkwy, Watertown, NY 13601-2416 2018-11-26
1518486281 Melissa Beagle Social Worker 482 Black River Pkwy, Watertown, NY 13601-2416 2017-09-14
1801315833 Rebecca Hicks Social Worker 482 Black River Pkwy, Watertown, NY 13601-2416 2017-09-11
1689197055 Michelle Ann Bartlett Social Worker 482 Black River Pkwy, Watertown, NY 13601-2416 2017-07-18
1942730023 Yvonne Lorelle Davis Registered Nurse 482 Black River Pkwy, Watertown, NY 13601-2416 2017-06-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801414156 Genoa Healthcare, LLC Durable Medical Equipment & Medical Supplies 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 2020-07-13
1083231377 Katherine Anne Cahill Counselor 22679 Duffy Road, Watertown, NY 13601 2020-07-02
1851855431 Hanna Kearney Physical Therapist 20053 Summit View Blvd Ste 2, Watertown, NY 13601 2019-01-28
1578039905 North Country Counseling Services LLC Counselor 210 Court St. Suite 4, Watertown, NY 13601 2018-10-24
1073004388 Megan Anna O'brien Counselor 221 S Rutland Street, Watertown, NY 13601 2018-05-22
1558860536 Kimberly Lynne Amelio Specialist 24850 Hinds Rd, Watertown, NY 13601 2018-02-06
1952840050 Alberto Gonzalez Social Worker 211 Jb Wise Plaza, Watertown, NY 13601 2017-02-22
1073967386 Amanda Pisarski Licensed Practical Nurse 26713 Nys Rte 12, Watertown, NY 13601 2016-04-22
1396137709 Daniel Ernest Morgan Neuromusculoskeletal Medicine & OMM 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 2015-02-21
1568868131 Megan E. Zamora Dental Hygienist 14652-b Cedar Way, Watertown, NY 13601 2014-11-10
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Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922606912 Shaelynn Marie Miller Licensed Practical Nurse 22479 Echo Dr, Watertown, NY 13601-9334 2020-10-13
1093350126 Lorrie A Pond Licensed Practical Nurse 422 College Hts Apt 2, Watertown, NY 13601-1846 2019-11-13
1972064707 Karalee Cromwell Licensed Practical Nurse 511 W Mullin St, Watertown, NY 13601-3231 2019-03-26
1457827842 Cynthia Ann Bennett Licensed Practical Nurse N1365 Elder Dr, Watertown, WI 53098-3770 2018-10-23
1104378249 Amber Zubke Licensed Practical Nurse 1405 Oconomowoc Ave Apt 1, Watertown, WI 53094-5214 2016-10-25
1114471232 Diane Margery Bolden Licensed Practical Nurse 411 Thompson Blvd, Watertown, NY 13601-4139 2016-08-05
1992154892 Joshua I Hall Licensed Practical Nurse 123 California Ave, Watertown, NY 13601-3042 2016-06-10
1073967386 Amanda Pisarski Licensed Practical Nurse 26713 Nys Rte 12, Watertown, NY 13601 2016-04-22
1447653662 Mary Supple Licensed Practical Nurse N6288 Stonewood Dr, Watertown, WI 53094-8710 2014-10-01
1235538240 Marie Petell Licensed Practical Nurse 17481 Us Route 11 Lot 5r, Watertown, NY 13601-5346 2014-08-14
Find all providers in WATERTOWN

Competitor

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City WATERTOWN
Zip Code 13601

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Dataset Information

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.

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