DR. JORDAN FIELDS (NPI# 1043517345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043517345 |
| Entity Type | Individual |
| Full Name | DR. JORDAN FIELDS |
| Credential | PH.D. |
| Practice Address |
1100 Wilford Hall Loop Bldg 4554 San Antonio TX 78236-5638 |
| Mailing Address |
1100 Wilford Hall Loop Bldg 4554 Jbsa Lackland TX 78236-5638 |
| Practice Telephone | 3149569412 |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810005212 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093321705 | Jordan Fields | Peer Specialist | 9669 Pippin Rd, Cincinnati, OH 45231-2223 | 2020-09-17 |
| 1760026637 | Jordan Fields | Counselor | 140 Buckeye St, Hamilton, OH 45011-1627 | 2019-11-04 |
| Street Address |
1100 WILFORD HALL LOOP BLDG 4554 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78236-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114410255 | Alyssa-joy Talon Oviatt | Dentist | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2018-06-13 |
| 1609396845 | Jacob Gerald Dodd | General Practice | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2017-06-20 |
| 1841664646 | Precious Jones | Social Worker | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2015-11-18 |
| 1467828913 | Valerie Say Martinez | Social Worker | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2015-08-19 |
| 1114303815 | Karen Torres | Counselor | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2015-08-04 |
| 1952781379 | Janelle Gyorffy | Internal Medicine | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2015-06-01 |
| 1457746364 | David Robert Stachniak | Pediatrics | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2015-03-30 |
| 1265824742 | Christopher Bailey | General Practice | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2015-02-20 |
| 1740692276 | Lesli Tristan | General Practice | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2014-06-02 |
| 1225376726 | Milton R Miranda | Pediatrics | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2013-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323097 | Ashleigh Elizabeth Fellows | Psychologist | 11750 Mission Trace St, San Antonio, TX 78230-2120 | 2020-10-13 |
| 1063990976 | Diane Laverne Coalson | Psychologist | 16803 Turkey Point St, San Antonio, TX 78232-1828 | 2018-08-02 |
| 1396251757 | Dr. Jacob Pickard Phd, Clinical Psychologist, PC | Psychologist | 1854 Lockhill Selma Rd Ste 102, San Antonio, TX 78213-1557 | 2017-12-21 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1801317334 | Alliance Psychology Specialists, Pllc | Psychologist | 7201 Broadway St Ste 218, San Antonio, TX 78209-3773 | 2017-07-06 |
| 1508317116 | John Martin Velasquez | Psychologist | 4030 Tallulah Dr, San Antonio, TX 78218-3448 | 2016-10-18 |
| 1275980740 | Richard John Rini | Psychologist | 4607 Midnight Woods St, San Antonio, TX 78249-1817 | 2016-05-15 |
| 1821451402 | Trudi Zaplac, J.d., Ph.d., Pllc | Psychologist | 7715 Wexford Sq, San Antonio, TX 78240-3923 | 2016-04-01 |
| 1174981542 | Needhi Bhaga | Psychologist | 531 Stonewood St, San Antonio, TX 78216-7920 | 2016-02-01 |
| 1457717613 | Tim Peterson | Psychologist | 4940 Broadway St, Suite 139, San Antonio, TX 78209-5747 | 2016-01-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78236 |
Please comment or provide details below to improve the information on DR. JORDAN FIELDS.
| 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.