LISA JORDAN (NPI# 1912497108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912497108 |
| Entity Type | Individual |
| Full Name | LISA JORDAN |
| Practice Address |
1515 W 31st St Jacksonville FL 32209 |
| Mailing Address |
1515 W 31st St Jacksonville FL 32209-3965 |
| Practice Telephone | 9048885915 |
| Mailing Telephone | 9048885915 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306351119 | Lisa Dawn Jordan | Behavior Technician | 20 Cherry Ave, Bradenton, FL 34207-4917 | 2017-12-04 |
| 1669924809 | Lisa Jordan | Social Worker | 163 Stimson St, Palmer, MA 01069-9522 | 2016-11-03 |
| 1417117904 | Lisa Renee Jordan | Physical Therapist | 303 N. Hurstbourne Parkway Suite 200, Paragon Rehabilitation, Louisville, KY 40222 | 2008-06-10 |
| 1790800191 | Lisa L Jordan | Social Worker | 2175 Little Horn Dr, Sheridan, WY 82801-8820 | 2007-03-21 |
| 1902966732 | Lisa Jordan | Acupuncturist | 101 Cottage Ave Ste K, Cashmere, WA 98815 | 2006-12-11 |
| 1861595787 | Lisa Dobson Jordan | Speech-Language Pathologist | 9405 Highway 17 By-pass, Murrells Inlet, SC 29576 | 2006-09-06 |
| 1669453320 | Lisa Jordan | Optometrist | 4 Garden Ctr, Ste 100, Broomfield, CO 80020-7026 | 2005-11-09 |
| 1336769371 | Lisa Elaine Jordan | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-04-20 |
| 1265909055 | Lisa Jordan | Prevention Professional | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2018-10-30 |
| 1942702196 | Lisa Marie Jordan | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2018-03-04 |
| Street Address |
1515 W 31ST ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506183 | Hayley M Shade | Student in an Organized Health Care Education/Training Program | 655 8th St. W., 4th Floor, Lrc 653-1 West 8th Street, L18, Jacksonville, FL 32209 | 2020-04-15 |
| 1407484629 | Micah Christine Turpeau | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2020-04-01 |
| 1730716366 | Nikki Javia | Student in an Organized Health Care Education/Training Program | 653-1 W 8th St, Fl 4, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1336776061 | Samuel Kamoroff | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 4th Floor, Lrc Box L16, Jacksonville, FL 32209 | 2020-03-24 |
| 1376194092 | Donald Wayne Johnson Jr. | Pharmacist | Uf Health Jacksonville, 655 West 8th Street, Jacksonville, FL 32209 | 2019-09-24 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1295296499 | Christian King | Student in an Organized Health Care Education/Training Program | 580 W. 8th St., Tower II, Suite 6005, Jacksonville, FL 32209 | 2019-03-29 |
| 1013478403 | David William Barton | Orthopaedic Surgery | 655 W 8th St, Box C-126, Jacksonville, FL 32209 | 2019-03-27 |
| 1275020968 | Eloisa Anne Ello-esma | Nurse Practitioner | W. 8th Street, Jacksonville, FL 32209 | 2018-04-18 |
| 1124522560 | John David Collin | Student in an Organized Health Care Education/Training Program | 653-1 West 8th Street, 2nd Floor Lrc, Jacksonville, FL 32209 | 2018-03-21 |
| Find all providers in zip 32209 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972141224 | Ami B Kowalski | Technician | 8161 Crosswind Rd, Jacksonville, FL 32244-5453 | 2019-12-17 |
| 1104462423 | Geoffrey C Lane | Technician | 4216 Old Mill Cove Trl W, Jacksonville, FL 32277-1582 | 2019-11-21 |
| 1831759141 | Stephanie R Forde | Technician | 12379 Glimmer Way, Jacksonville, FL 32219-1867 | 2019-06-18 |
| 1093279572 | Andrew Jay Jackson | Technician | 125 County Road 4209, Jacksonville, TX 75766-5574 | 2019-01-29 |
| 1790259729 | Juanita R. Cooks | Technician | 3224 Liberty Cir, Jacksonville, FL 32206-2101 | 2019-01-12 |
| 1669945606 | Suzie Pennington | Technician | 7541 Fawn Lake Dr N, Jacksonville, FL 32256-3665 | 2019-01-02 |
| 1518439876 | Angela Rand | Technician | 1710 Naldo Ave, Jacksonville, FL 32207-3138 | 2018-12-27 |
| 1366913394 | Sandra Prince Alvey | Technician | 2829 Seville Ct, Jacksonville, FL 32207-4622 | 2018-12-17 |
| 1235600321 | Angela Justina Mcdonald | Technician | 3047 Mikris Dr E, Jacksonville, FL 32225-7607 | 2018-12-16 |
| 1306317359 | Lauren Renee Simao | Technician | 1665 Cedar Bay Rd, Jacksonville, FL 32218-4971 | 2018-12-16 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32209 |
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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.