AUDREY SUE JORDAN (NPI# 1952803264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952803264 |
| Entity Type | Individual |
| Full Name | AUDREY SUE JORDAN |
| Practice Address |
8745 County Road 9 S Alamosa CO 81101-9610 |
| Practice Telephone | 7195893671 |
| Mailing Telephone | 7195893671 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639728066 | Audrey Jordan | Physical Therapist | 379 Pinehaven Street Ext, Laurens, SC 29360-2672 | 2019-09-09 |
| Street Address |
8745 COUNTY ROAD 9 S |
| City | ALAMOSA |
| State | CO |
| Zip Code | 81101-9610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063406999 | San Luis Valley Community Mental Health Center | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2005-09-07 |
| 1356955637 | San Luis Valley Community Mental Health Center | Clinic/Center | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2020-09-03 |
| 1225647712 | Matthew Richard Harris | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2020-07-30 |
| 1811517733 | Desiree Kamilah Sierra | Licensed Practical Nurse | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2020-04-21 |
| 1235774324 | Robyn M Hindes | Licensed Practical Nurse | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2019-11-12 |
| 1790258622 | Frances Mestas | Licensed Practical Nurse | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2019-01-03 |
| 1053889246 | Jessica Elizabeth Chacon | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-11-06 |
| 1912472218 | Marie B Duran | Licensed Practical Nurse | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-10-12 |
| 1760957062 | Ellyn Tia Pleiman | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-10-12 |
| 1104391408 | Raquel M Rhoads | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909325 | Tiffanie Nicole Hoover | Nurse Practitioner | Slv Health, 106 Blanca Ave, Alamosa, CO 81101 | 2018-04-11 |
| 1629503669 | Early Oral Health Interception LLC | Dental Hygienist | 235 Carson Avenue, Alamosa, CO 81101 | 2017-04-27 |
| 1477917391 | Mary Sawyer | Nurse Practitioner | San Luis Valley Health106 Blanca Ave, Alamosa, CO 81101 | 2016-04-06 |
| 1508221276 | Kendal W Humes | Counselor | 1460 W 8th Street, Unit 13, Alamosa, CO 81101 | 2015-12-23 |
| 1689096422 | Julia Toczek | Counselor | 8745 County Road 9s, Alamosa, CO 81101 | 2014-01-14 |
| 1275883365 | Michelle Marie Craver | Counselor | 8745 County Road 9 South, Alamosa, CO 81101 | 2012-09-15 |
| 1417193079 | Slv Eye Docs, LLC | Optometrist | 706 Del Sol Dr, Alamosa, CO 81101 | 2008-12-31 |
| 1770753154 | Huh Inc | Hearing Instrument Specialist | 2101 Main St., Ste C Ears 2 U Hearing Aid Services, Alamosa, CO 81101 | 2008-03-03 |
| 1215139613 | Valley-wide Health System, Inc. | Pharmacist | 1710 1st Street, Alamosa, CO 81101 | 2007-06-05 |
| 1821204116 | Valerie Stephanie Gurule-duran | Counselor | 8745 Cr 9 South, Alamosa, CO 81101 | 2007-05-15 |
| Find all providers in zip 81101 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316422918 | Morgan Jackson | Peer Specialist | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-09-28 |
| 1588159727 | Anna Maria Velasquez | Peer Specialist | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-06-29 |
| 1538659941 | Mikayla Ashley Weiser | Peer Specialist | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-05-11 |
| 1184114589 | Veronica Ann Knecht | Peer Specialist | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-05-11 |
| 1003306481 | Roberta Cummings | Peer Specialist | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-05-11 |
| 1477043875 | Britt T Maughan | Peer Specialist | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-05-11 |
| 1578066825 | Lori Lynn Martinez | Peer Specialist | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-03-13 |
| 1730688235 | Melissa Acosta | Peer Specialist | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2018-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932739679 | Melissa L Lucero | Peer Specialist | 222 23rd Ave, Greeley, CO 80631-1854 | 2020-01-22 |
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1477194454 | Ronna Jo Wellman | Peer Specialist | 8110 River Run Dr, Greeley, CO 80634-9389 | 2019-10-01 |
| 1194288449 | Sara Christian Broughton | Peer Specialist | 360 Peak One Dr Ste 130, Frisco, CO 80443 | 2019-04-12 |
| 1093275299 | Atis Spuris | Peer Specialist | 360 Peak One Dr Ste 140, Frisco, CO 80443 | 2019-03-22 |
| 1871052993 | Laurie Ann Jones | Peer Specialist | 1025 14th St, Greeley, CO 80631-3866 | 2019-03-18 |
| 1588128326 | Robyn Stover | Peer Specialist | 1209 Tulip St, Longmont, CO 80501-3164 | 2019-01-25 |
| 1144702432 | Kylie Monson | Peer Specialist | 773 Calgary Way, Golden, CO 80401-9361 | 2018-09-04 |
| 1952882318 | Melody E Mesmer | Peer Specialist | 34 Van Gordon St Ste 210, Lakewood, CO 80228-1713 | 2018-08-23 |
| 1114432515 | Brittany Lauren Hoffman | Peer Specialist | 7703 W 55th Ave Apt 202, Arvada, CO 80002-3683 | 2017-12-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on AUDREY SUE 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.