JORDAN TYLER WEAVER (NPI# 1952948994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952948994 |
| Entity Type | Individual |
| Full Name | JORDAN TYLER WEAVER |
| Practice Address |
806 Glendale St Jonesboro AR 72401-4455 |
| Mailing Address |
1900 Stillwater Dr Jonesboro AR 72404-9119 |
| Practice Telephone | 8709323600 |
| Mailing Telephone | 8709323600 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164987020 | Jordan Weaver | Chiropractor | 2523 S 10th Ave Ste 102, Caldwell, ID 83605-6760 | 2019-02-05 |
| 1558971150 | Jordan M Weaver | Behavior Technician | 27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5326 | 2020-08-07 |
| 1225594575 | Jordan Ray Weaver | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200, Toledo, OH 43614-1510 | 2019-02-12 |
| 1780121863 | Jordan K Weaver | Nurse Practitioner | 2400 Avalon Ave, Muscle Shoals, AL 35661-3187 | 2017-01-26 |
| Street Address |
806 GLENDALE ST |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-4455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114063138 | Brandie P. Lieblong | Physical Therapist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2007-01-29 |
| 1932700515 | Ashley Tomlinson | Day Training/Habilitation Specialist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2020-11-02 |
| 1689282303 | Alissa M Lee | Day Training/Habilitation Specialist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2020-07-20 |
| 1851917512 | Jamie Pasmore | Registered Nurse | 806 Glendale St, Jonesboro, AR 72401-4455 | 2020-06-18 |
| 1952941395 | Jonathan Turner | Occupational Therapist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2020-01-14 |
| 1386282309 | Hannah Morgan Stone | Day Training/Habilitation Specialist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2019-12-20 |
| 1861039802 | Elizabeth Tate Lawson | Day Training/Habilitation Specialist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2019-12-10 |
| 1679119036 | Carly Nichols Glidewell | Occupational Therapist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2019-11-20 |
| 1659916542 | Rebecca Ann Chisom | Day Training/Habilitation Specialist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2019-11-14 |
| 1265076251 | Chelsea Grace Ann Jones | Case Manager/Care Coordinator | 806 Glendale St, Jonesboro, AR 72401-4455 | 2019-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700515 | Ashley Tomlinson | Day Training/Habilitation Specialist | 806 Glendale St, Jonesboro, AR 72401-4455 | 2020-11-02 |
| 1821696725 | Sarah Deweese | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1417555319 | Olivia Lawshe | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-13 |
| 1386241263 | Kawaiala Mullen | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-10-05 |
| 1689280984 | Amanda Pemberton | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-22 |
| 1104432400 | Morgan Kilgore | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-22 |
| 1982219747 | Maranda Mcmanus | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-09 |
| 1477167310 | Jakob Felts | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-09-08 |
| 1649883448 | Laura Davidson | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-08-31 |
| 1306458781 | Rebekah Smith | Day Training/Habilitation Specialist | 1900 Stillwater Dr, Jonesboro, AR 72404-9119 | 2020-08-18 |
| Find all providers in JONESBORO | ||||
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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.