CHARLES JORDAN (NPI# 1932752110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932752110 |
| Entity Type | Individual |
| Full Name | CHARLES JORDAN |
| Practice Address |
222 Tongass Dr Sitka AK 99835-9416 |
| Practice Telephone | 9079662411 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508477910 | Charles B. Jordan | Technician | 1339 Fairview Rd, Webster Springs, WV 26288-8444 | 2020-08-11 |
| 1306126263 | Charles Raymond Jordan | Nurse Practitioner | 1350 Sunset Dr Ste B, Grenada, MS 38901-4079 | 2011-08-24 |
| 1568561462 | Charles E Jordan | Orthopaedic Surgery | 751 Pre Emption Rd, Suite 1, Geneva, NY 14456 | 2006-09-21 |
| 1871565374 | Charles J Jordan | Dentist | 1425 W Grand Ave Ste 101, Haysville, KS 67060-1270 | 2006-02-07 |
| 1518516392 | Charles Jordan | Dentist | 412 Northside Dr E, Statesboro, GA 30458-4802 | 2019-09-05 |
| 1679033476 | Charles Jordan | Nurse Practitioner | 10201 Highway 16, Comanche, TX 76442-4462 | 2019-03-20 |
| 1578060794 | Charles Jordan | Counselor | 4124 Linden Ave, Dayton, OH 45432-3018 | 2018-04-13 |
| 1205340890 | Charles Jordan | Physical Therapist | 2699 Wehrle Dr, Williamsville, NY 14221-7332 | 2017-11-20 |
| 1386168334 | Charles Jermaine Jordan | Emergency Medical Technician, Basic | Lyster Army Health Clinic, Building 301, Andrews Avenue, Fort Rucker, AL 36362-5333 | 2017-08-01 |
| 1013295120 | Charles R Jordan | Pharmacist | 13111 W Alameda Pkwy, Lakewood, CO 80228-3108 | 2011-07-25 |
| Street Address |
222 TONGASS DR |
| City | SITKA |
| State | AK |
| Zip Code | 99835-9416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124018486 | Jeanette Susan Berry | Nurse Anesthetist, Certified Registered | 222 Tongass Dr, Sitka, AK 99835-9416 | 2005-10-26 |
| 1164021523 | Grant Verhagen | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-18 |
| 1508464751 | Izabella Zora Powers | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-10 |
| 1417555665 | Kevan Abra O'hanlon | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-10 |
| 1992302590 | Reed Andrew Carter | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-06 |
| 1851901763 | Nathan Riley Kraft | Pharmacist | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-08-05 |
| 1013532571 | Gregory David Powell | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-06-10 |
| 1477182434 | Jasmine Leigh Esmay | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-04-02 |
| 1639709868 | Kyle William Larson | Behavior Technician | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-01-15 |
| 1124668595 | Nina Mueller | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268116 | Rodney Ray Racaza | Pharmacist | 222 Tongass Drive Pharmacy, Sitka, AK 99835 | 2020-09-01 |
| 1003462052 | Tiffany Marie Johnson | Nurse's Aide | 1209 Seward Ave., Sitka, AK 99835 | 2019-08-15 |
| 1841843794 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1200 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1992358840 | Southeast Alaska Regional Health Consortium | Community/Behavioral Health | 1212 Seward Avenue, Sitka, AK 99835 | 2019-07-19 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1689194599 | Heather Chandler | Social Worker | 113 Metlakatla Steet, Sitka, AK 99835 | 2017-06-21 |
| 1730548462 | Southeast Alaska Regional Health Consortium | Medicare Defined Swing Bed Unit | 222 Tongass Blvd, Sitka, AK 99835 | 2016-02-23 |
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1700167830 | Allison Richmond Allen | Physical Therapy Assistant | 12 Lifesaver Drive, Sitka, AK 99835 | 2011-09-02 |
| 1023336617 | Hollie E Mulanax | Community Health Worker | 408 Lake Street #2, Sitka, AK 99835 | 2010-05-07 |
| Find all providers in zip 99835 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261630 | Maia Stack | Counselor | 222 Tongass Dr Bldg 1206, Sitka, AK 99835-9416 | 2020-10-01 |
| 1306461942 | Stephanie C Hawney | Counselor | 401 Marine St Apt 2, Sitka, AK 99835-7345 | 2020-06-09 |
| 1285257022 | Dirk T White | Counselor | 117 Granite Creek Rd, Sitka, AK 99835-9578 | 2020-05-27 |
| 1154973857 | Jeffrey Mossige | Counselor | Searhc - Raven's Way 222 Tongass Dr., Sitka, AK 99835 | 2019-07-12 |
| 1922235225 | Deborah E Corso | Counselor | 710 Indian River Road, Sitka, AK 99835 | 2009-06-15 |
| 1164021523 | Grant Verhagen | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-18 |
| 1992302590 | Reed Andrew Carter | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-10-06 |
| 1013532571 | Gregory David Powell | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2020-06-10 |
| 1962057901 | Albert Duncan | Counselor | 113 Metlakatla St, Sitka, AK 99835-7666 | 2019-08-06 |
| 1154974962 | Jared Panamarkoff | Counselor | 222 Tongass Dr, Sitka, AK 99835-9416 | 2019-07-21 |
| Find all providers in SITKA | ||||
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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.