MS. LEANA JORDAN (NPI# 1912277450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912277450 |
| Entity Type | Individual |
| Full Name | MS. LEANA JORDAN |
| Credential | RN773622 |
| Practice Address |
1901 Cleveland Ave Ste B Santa Rosa CA 95401-4298 |
| Practice Telephone | 7075760818 |
| Practice Fax Number | 7075767845 |
| Mailing Telephone | 7075760818 |
| Mailing Fax Number | 7075767845 |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN773622 | CA | Nursing Service Providers |
| Street Address |
1901 CLEVELAND AVE STE B |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942458724 | Cynthia Hyde | Counselor | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2008-09-04 |
| 1992232680 | John Joseph Vaughan Jr. | Counselor | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2017-05-12 |
| 1326593443 | Doris Reyes | Community/Behavioral Health | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2016-08-18 |
| 1235588849 | Kirk Elrod | Counselor | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2016-06-06 |
| 1770931040 | Stephen Gordinier | Counselor | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2016-05-27 |
| 1477926194 | Andrea Yvonne Quintana I | Licensed Psychiatric Technician | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2015-11-03 |
| 1861743395 | Dannette Michelle Stras | Counselor | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2012-09-24 |
| 1265715122 | Matthew Pfohl-smith | Counselor | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2011-09-27 |
| 1457639098 | Marla Pfohl | Counselor | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2011-08-01 |
| 1205124351 | Nicole Lee Sommers | Licensed Vocational Nurse | 1901 Cleveland Ave Ste B, Santa Rosa, CA 95401-4298 | 2011-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739141 | Wallace T. Wiggam | Registered Nurse | 2403 Professional Dr # Ca, Santa Rosa, CA 95403-3007 | 2020-01-16 |
| 1568899532 | Tema Hlynn Pacheco | Registered Nurse | 1901 Cleveland Avenue #b, Santa Rosa Treatment Program, Santa Rosa, CA 95401 | 2013-10-04 |
| 1205181005 | Jessica Sickler Schmidt | Registered Nurse | 480 Tesconi Cir Ste B, Santa Rosa, CA 95401-4691 | 2012-07-17 |
| 1962796292 | Michael E Peters | Registered Nurse | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2011-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467075549 | Tracy Eileen Erickson | Registered Nurse | 8950 Cal Center Dr Ste 160, Sacramento, CA 95826-3225 | 2020-05-22 |
| 1942837232 | Joe Charles Filipi | Registered Nurse | 29 Rowan Dr, Aliso Viejo, CA 92656-4280 | 2020-03-25 |
| 1144785254 | Vincent Falcone | Registered Nurse | 6715 W Wren Ave, Visalia, CA 93291-8344 | 2019-02-02 |
| 1427544642 | Tamekia Latesica Brown | Registered Nurse | 9418 Wareham Dr, Bakersfield, CA 93313-5816 | 2018-07-11 |
| 1942701313 | Beatrix Dozier | Registered Nurse | 293 N State College Blvd Apt 2061, Orange, CA 92868-5715 | 2018-02-21 |
| 1326564147 | Continued Care Nursing Services Inc. | Registered Nurse | 45741 Shadow Mountain Dr, Palm Desert, CA 92260-4624 | 2017-08-15 |
| 1265989727 | Nurses for Safe Access | Registered Nurse | 27209 Highway 189, Blue Jay, CA 92317 | 2016-09-01 |
| 1265883250 | Kelley Hoffman | Registered Nurse | 148 W Avenida San Antonio, San Clemente, CA 92672-4354 | 2016-06-30 |
| 1215396114 | Richard Perlstein | Registered Nurse | 23524 Daisetta Dr, Newhall, CA 91321-3721 | 2016-02-19 |
| 1942694138 | Deidre Fitzpatrick | Registered Nurse | 3151 Airway Ave Ste D1, Costa Mesa, CA 92626-4622 | 2015-03-25 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on MS. LEANA JORDAN.
| 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.