MATT JORDAN (NPI# 1053717355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053717355 |
| Entity Type | Individual |
| Full Name | MATT JORDAN |
| Practice Address |
3112 Humboldt Ave S Apartment 4 Minneapolis MN 55408-2683 |
| Practice Telephone | 6125084967 |
| Mailing Telephone | 6125084967 |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2457 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447617139 | Matt Jordan | Nurse Practitioner | 13900 South Pleasant Valley Road, Kuna, ID 83634 | 2016-01-26 |
| Street Address |
3112 HUMBOLDT AVE S APARTMENT 4 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55408-2683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870512 | Community Solutions Services Inc | Counselor | 3043 2nd Ave South, Suite 101, Minneapolis, MN 55408 | 2020-08-05 |
| 1356962740 | Mohammad Mushtaq Khandwala | Student in an Organized Health Care Education/Training Program | 2810 Nicollet Avenue South, Minneapolis, MN 55408 | 2020-04-27 |
| 1861012700 | Open Arms Group Home LLC | Nursing Care | 1 W Lake St Suite 165 Unit 7, Minneapolis, MN 55408 | 2020-04-21 |
| 1538710413 | Yuejuan Bian | Acupuncturist | 2743 Lyndale Ave S, Suite 2, Minneapolis, MN 55408 | 2019-09-23 |
| 1710536081 | Blu Care Inc | Clinic/Center | 2910 Pillsbury Ave S Ste 338, Minneapolis, MN 55408 | 2019-09-09 |
| 1417510165 | Kau Macador Queeglay | Counselor | 621 West Lake Street Suite 350 Lynlake Building, Minneapolis, MN 55408 | 2019-04-18 |
| 1346735875 | Nicole S Ehrenberg | Social Worker | 324 E 35th Street, Minneapolis, MN 55408 | 2018-06-27 |
| 1639681612 | American Family Transportation Inc | Non-emergency Medical Transport (VAN) | 2910 Pillsbury Ave So Suite 434, Minneapolis, MN 55408 | 2017-10-30 |
| 1285181743 | Multilingual Word Inc | Interpreter | 1431 W 32nd St, Minneapolis, MN 55408 | 2016-09-01 |
| 1376906388 | Sama Healthcare | Family Medicine | 2639 Nicollet Ave., Suite 130, Minneapolis, MN 55408 | 2016-03-29 |
| Find all providers in zip 55408 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984674 | Kylie Macziewski | Specialist/Technologist | 104 W 95th St, Minneapolis, MN 55420-4307 | 2020-05-22 |
| 1295356293 | Matthew Larsen | Specialist/Technologist | 501 E 14th St Apt 34, Minneapolis, MN 55404-1409 | 2020-04-30 |
| 1801433115 | Mary L Weddle | Specialist/Technologist | 4300 W River Pkwy Apt 251, Minneapolis, MN 55406-3678 | 2019-12-05 |
| 1760041065 | Kristin Wood | Specialist/Technologist | 1900 University Ave Se, Minneapolis, MN 55455-0376 | 2019-06-10 |
| 1831665868 | Brandi Bluearm | Specialist/Technologist | 1410 Elliot Ave, Minneapolis, MN 55404-1300 | 2018-10-17 |
| 1982195558 | Joshua Wintz | Specialist/Technologist | 4112 Morrill Ln, Minneapolis, MN 55406-3656 | 2018-05-19 |
| 1225548126 | Abbegayle Kisrow | Specialist/Technologist | 2840 123rd Ave Nw, Minneapolis, MN 55433-1727 | 2017-10-05 |
| 1295250744 | Emily Jacob | Specialist/Technologist | 5829 Oakland Ave, Minneapolis, MN 55417-3113 | 2017-08-06 |
| 1639524853 | Annie Thoresen | Specialist/Technologist | 7841 Wayzata Blvd, Suite 214, Minneapolis, MN 55426-1452 | 2016-04-25 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55408 |
Please comment or provide details below to improve the information on MATT 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.