JORDAN E DICKEN (NPI# 1073019659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073019659 |
| Entity Type | Individual |
| Full Name | JORDAN E DICKEN |
| Practice Address |
1420 S Pilgrim Blvd Yorktown IN 47396-9250 |
| Mailing Address |
2622 S 23rd St New Castle IN 47362-2124 |
| Practice Telephone | 7657594068 |
| Mailing Telephone | 7655205359 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71007886A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1420 S PILGRIM BLVD |
| City | YORKTOWN |
| State | IN |
| Zip Code | 47396-9250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992755748 | Midwest Healthstrategies, Inc. | Clinic/Center | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2006-05-11 |
| 1417431388 | Raquel Lopez | Nurse Practitioner | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2018-09-18 |
| 1073975041 | Eric Westergren | Family Medicine | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2016-03-28 |
| 1710206990 | Indiana University Health Ball Memorial Physicians, Inc. | Family Medicine | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2010-05-27 |
| 1609012087 | Lisa Lynn Swingley | Nurse Practitioner | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2009-01-06 |
| 1972709079 | Liliana Patricia Garcia-vargas | Internal Medicine | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2007-06-25 |
| 1386700276 | Kathleen B Shapiro | Physical Therapist | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2006-12-28 |
| 1124129424 | Abbie Guthrie | Pharmacist | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2006-09-26 |
| 1104922608 | Phylis June Rutowski | Pharmacist | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2006-09-15 |
| 1720182777 | Indiana University Health Ball Memorial Hospital Inc | Pharmacy | 1420 S Pilgrim Blvd, Yorktown, IN 47396-9250 | 2006-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679979041 | Quad/med, LLC | Clinic/Center | 2005 S Tiger Dr, Yorktown, IN 47396 | 2014-11-13 |
| 1699033944 | Mini Dental Implant Centers of America LLC | Dentist | 2001 S Tiger Drive, Yorktown, IN 47396 | 2012-04-24 |
| 1306802087 | Andrew Blake Wagner | Physical Therapist | 7701 West Kilgore, Ste 1a, Yorktown, IN 47396 | 2006-04-22 |
| 1992008742 | Roberta Vernice Reichenbach | Nurse Practitioner | 9730 W Smith St, Yorktown, IN 47396-1199 | 2010-12-17 |
| 1770837965 | Yorktown Community Schools | Local Education Agency (LEA) | 2311 S Broadway St, Yorktown, IN 47396-1200 | 2012-11-09 |
| 1467643817 | Lisa Michelle Kattner | Counselor | 9010 W Smith St, Suite 2, Yorktown, IN 47396-1313 | 2007-08-08 |
| 1801921150 | Mt Pleasant Twp Comm Sch | Local Education Agency (LEA) | 8800 W Smith St, Yorktown, IN 47396-1332 | 2007-02-23 |
| 1518094119 | Tiffany L Stinson | Physical Therapist | 2213 S Sisk Dr, Yorktown, IN 47396-1443 | 2007-02-28 |
| 1730392986 | Healthcare Centers of Indiana, LLC | Skilled Nursing Facility | 2000 S Andrews Rd, Yorktown, IN 47396-6812 | 2007-05-07 |
| 1275572646 | The Waters of Yorktown, LLC | Skilled Nursing Facility | 2000 S. Andrews Road, Yorktown, IN 47396-6812 | 2006-06-04 |
| Find all providers in zip 47396 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528570538 | Rusty Rivera Duran | Nurse Practitioner | 205 Hampton Hwy, Yorktown, VA 23693-3512 | 2017-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809140 | Indiana Suburban Visiting Physician Services | Nurse Practitioner | 5 Washington St Ste 300, Valparaiso, IN 46383-4769 | 2020-10-20 |
| 1033737069 | Housecalls/optum for United Health Group | Nurse Practitioner | 518 Euclid Ave, Greenwood, IN 46142-3618 | 2020-07-07 |
| 1497382030 | Toya Jamillah Woods | Nurse Practitioner | 3814 Grant St, Gary, IN 46408-2150 | 2020-03-24 |
| 1558905554 | Amy Hueston | Nurse Practitioner | 313 S Berkley Rd, Kokomo, IN 46901-5114 | 2019-11-01 |
| 1891338166 | Jayme Lantz | Nurse Practitioner | 20085 Turquoise Ln, Goshen, IN 46528-6294 | 2019-10-19 |
| 1033761770 | Workplace Health Services | Nurse Practitioner | 1632 W. In-28, Frankfort, IN 46041 | 2019-07-12 |
| 1164984597 | Care At Home LLC | Nurse Practitioner | 717 Washington Park Blvd, Michigan City, IN 46360-2056 | 2019-04-04 |
| 1255815379 | Amanda Kay Goins | Nurse Practitioner | 3919 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-6811 | 2018-09-25 |
| 1972084267 | Kelly Sue Ann Peasley | Nurse Practitioner | 2101 Jackson St Ste 8, Anderson, IN 46016-4341 | 2018-08-24 |
| 1891271466 | Hilton Health Housecall LLC | Nurse Practitioner | 4340 Trace Wood Dr, Indianapolis, IN 46254-6238 | 2018-07-17 |
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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.