CHARONDA KAYE JORDAN (NPI# 1003452723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003452723 |
| Entity Type | Individual |
| Full Name | CHARONDA KAYE JORDAN |
| Practice Address |
3803 S 79th East Ave # 100 Tulsa OK 74145-3218 |
| Practice Telephone | 9186305746 |
| Mailing Telephone | 9186305746 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376G00000X | Nursing Home Administrator | 37P026710818 | OK | Nursing Service Related Providers |
| Street Address |
3803 S 79TH EAST AVE # 100 |
| City | TULSA |
| State | OK |
| Zip Code | 74145-3218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174015606 | Grayson Elaine Kirk | Social Worker | 7028 E 32nd St, Tulsa, OK 74145 | 2018-05-31 |
| 1407378060 | Matthew Ryan Lazar | Case Manager/Care Coordinator | 3405 S 95th East Ave, Tulsa, OK 74145 | 2017-07-14 |
| 1770014243 | Sarah Truman | Counselor | 5332 S. Memorial Dr., Tulsa, OK 74145 | 2017-03-25 |
| 1265977615 | Tsaw LLC | Chiropractor | 6949-51 E. 71st St., Tulsa, OK 74145 | 2016-12-21 |
| 1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
| 1790234003 | Joy Home Care Services LLC | In Home Supportive Care | 9434 E 51st Street, Tulsa, OK 74145 | 2016-09-27 |
| 1407302821 | Tammera Mcclenton | Counselor | 7225 E 58th St., Tulsa, OK 74145 | 2016-08-26 |
| 1366839482 | Tesia D. Wells | Marriage & Family Therapist | 7226 E 41st St, Tulsa, OK 74145 | 2015-04-16 |
| 1942613427 | Kevin Bonifield | Counselor | 5327 S Sheridan Rd, Tulsa, OK 74145 | 2014-06-03 |
| 1518208040 | Kelsee Lane Mccutchen | Counselor | 7477 E. 46th Place, Tulsa, OK 74145 | 2013-03-07 |
| Find all providers in zip 74145 | ||||
| Taxonomy Code | 376G00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nursing Home Administrator |
| An individual, often licensed by the state, who is responsible for the management of a nursing home. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL, 1994, p. 552. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316395593 | Adekunle Francis | Nursing Home Administrator | 7110 S Utica Ave, Apt 601, Tulsa, OK 74136-5157 | 2016-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851944235 | Ermie Clintina Williams | Nursing Home Administrator | 2132 Ne 36th St, Oklahoma City, OK 73111-5306 | 2019-07-24 |
| 1205225117 | Tom Montgomery IIi | Nursing Home Administrator | 1929 Betty Jane Ln, Muskogee, OK 74403-1581 | 2015-01-15 |
| 1518257492 | Victor Ikemefula Ukonu | Nursing Home Administrator | 4045 Nw 64st, Oklahoma, OK 73116 | 2011-04-13 |
| 1548762982 | Lloyd Dean Hilburn | Nursing Home Administrator | 225 N. Broadway, P.o. Box 99, Carnegie, OK 73015 | 2018-03-01 |
| 1548633142 | Edna Keaton | Nursing Home Administrator | 421 W South Ave, Vinita, OK 74301-4143 | 2015-11-04 |
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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.