MRS. MINERVA JORDAN (NPI# 1023671732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023671732 |
| Entity Type | Individual |
| Full Name | MRS. MINERVA JORDAN |
| Credential | REGISTERED NURSE |
| Practice Address |
4321 Eliot Ct Modesto CA 95356-8936 |
| Practice Telephone | 2095958396 |
| Mailing Telephone | 2095958396 |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2019-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0807X |
Registered Nurse Specialization: Psych/Mental Health, Child & Adolescent |
836048 | CA | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
836048 | CA | Nursing Service Providers |
| Street Address |
4321 ELIOT CT |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-8936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881239622 | Christian Buck | Registered Nurse | 4605 Via Altura, Modesto, CA 95357-0667 | 2019-11-15 |
| 1598287906 | Janet Vargas | Registered Nurse | 1312 Pecos Ave, Modesto, CA 95351-4728 | 2017-07-07 |
| 1871982199 | Celeste Lascano | Registered Nurse | 3001 Hahn Dr Apt 354, Modesto, CA 95350-6585 | 2015-01-12 |
| 1558520114 | Kim Dale Goodrum | Registered Nurse | 825 Palmilla Dr, Modesto, CA 95356-1152 | 2008-06-08 |
| 1902093909 | Gayle Patricia Ivy | Registered Nurse | 3909 Trillium Ave, Modesto, CA 95356-1319 | 2007-10-03 |
| 1871792952 | Mary Lynn Miller | Registered Nurse | 500 N 9th St Ste C, Modesto, CA 95350-5814 | 2007-07-17 |
| 1962523225 | Koni Del Nugent | Registered Nurse | 1912 Post Oak Dr, Modesto, CA 95354-1634 | 2007-04-03 |
| 1104946946 | Melissa Alane Sanchez | Registered Nurse | 1829 Savoie Way, Modesto, CA 95356-8947 | 2007-03-29 |
| 1922132802 | John Francis Gilmore | Registered Nurse | 920 12th Street, Modesto, CA 95354 | 2007-03-15 |
| 1710012489 | Keri Berbena Rodgers | Registered Nurse | 2215 Blue Gum Ave, Modesto, CA 95358-1052 | 2007-02-22 |
| Find all providers in MODESTO | ||||
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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.