SUSAN A JORDAN (NPI# 1073613709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073613709 |
| Entity Type | Individual |
| Full Name | SUSAN A JORDAN |
| Credential | REGISTERED DIETITION |
| Practice Address |
1010 South 7650 East Crow Agency MT 59022-0022 |
| Mailing Address |
Po Box 108 Hardin MT 59034-0108 |
| Practice Telephone | 4066383553 |
| Practice Fax Number | 4066383553 |
| Mailing Telephone | 4066383553 |
| Mailing Fax Number | 4066383569 |
| Enumeration Date | 2006-09-23 |
| Last Update Date | 2008-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | DT06018 | TX | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS STATE BOARD | DT06018 | 01 |
| MT | 2210068 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407275670 | Susan Louise Jordan | Behavioral Analyst | 284 Crestwood Ct, Fishkill, NY 12524-3309 | 2014-04-15 |
| 1982840963 | Susan Jordan | Licensed Practical Nurse | 55 Heather Ln, Levittown, NY 11756-3307 | 2008-12-23 |
| 1861511438 | Susan Beth Jordan | Behavioral Analyst | 7839 University Ave, La Mesa, CA 91942-0476 | 2007-03-28 |
| 1093898926 | Susan Kleck Jordan | Counselor | 7701 E 1st Pl, Suite D, Denver, CO 80230-6920 | 2006-10-23 |
| 1003913799 | Susan E. Jordan | Nurse Practitioner | 707 N Logan Avenue, Danville Polyclinic, Ltd., Danville, IL 61832-4360 | 2006-09-17 |
| 1952361776 | Susan Anne Jordan | Family Medicine | 1526 E. Main Street, Melbourne, AR 72556 | 2006-03-24 |
| 1427047331 | Susan Starbuck Jordan | Registered Nurse | 1039 Executive Dr Ste 101, Hixson, TN 37343-7900 | 2005-10-14 |
| 1871580506 | Susan K Jordan | Nurse Practitioner | 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335-1522 | 2005-09-27 |
| 1497090369 | Susan P Jordan | Physical Therapy Assistant | 520 Kerr Ave, Denton, MD 21629-1343 | 2012-12-04 |
| 1295018653 | Susan Jordan | Nurse Practitioner | 360 Peak One Drive, Suite #350, Frisco, CO 80443-0738 | 2011-09-22 |
| Street Address |
1010 SOUTH 7650 EAST |
| City | CROW AGENCY |
| State | MT |
| Zip Code | 59022-0022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508354135 | Robert He Does It | Counselor | 101 Baacheeitche Ave, Crow Agency, MT 59022 | 2018-04-30 |
| 1306334925 | Christine L. Good Luck | Counselor | 101 Baacheeitche Ave., Crow Agency, MT 59022 | 2018-04-30 |
| 1083140545 | Crow Nation Chr Health Dept. | Non-emergency Medical Transport (VAN) | 10069 South Heritage Rd, Crow Agency, MT 59022 | 2017-05-03 |
| 1720513674 | Crow Nation Recovery Center | Clinic/Center | 101 Baacheeitche, Crow Agency, MT 59022 | 2017-04-28 |
| 1154860013 | Maria Kofas | Dietitian, Registered | South 7650 East 1010, Crow Agency, MT 59022 | 2017-02-13 |
| 1033599972 | Charles A Finley | Registered Nurse | 10110 S. 7650 E, Crow Agency, MT 59022 | 2015-06-05 |
| 1619356219 | Marjorie Sytsma | Registered Nurse | 10110 S 7650 East, Crow Agency, MT 59022 | 2015-05-28 |
| 1447536602 | Tina Joy Shutts | Registered Nurse | 10110 S Route 765 E, Crow Agency, MT 59022 | 2011-11-01 |
| 1417237108 | Barbara Jeanne O'hare | Registered Nurse | 10110s Route 765 East, Crow Agency, MT 59022 | 2011-08-25 |
| 1255633855 | Sandra Kay Montgomery | Registered Nurse | 10110 South, 7650 East, Crow Agency, MT 59022 | 2010-12-02 |
| Find all providers in zip 59022 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154860013 | Maria Kofas | Dietitian, Registered | South 7650 East 1010, Crow Agency, MT 59022 | 2017-02-13 |
| 1770843252 | Linda Smith | Dietitian, Registered | 10110 South 7650 East, Crow Agency, MT 59022-0009 | 2012-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077964 | Hannah Wilson | Dietitian, Registered | 224 Columbia Ave, Whitefish, MT 59937-2632 | 2020-09-11 |
| 1992319669 | Colleen Rose Mcmilin | Dietitian, Registered | 562 Enterprise Blvd Apt 49, Bozeman, MT 59718-5133 | 2020-09-01 |
| 1649893140 | Lorelei Nutrition | Dietitian, Registered | 213 N Broadway Ste 4, Billings, MT 59101-1972 | 2020-05-19 |
| 1366061913 | Amelia Tavares | Dietitian, Registered | 1 Valley View Dr Ste 104, Montana City, MT 59634-9203 | 2020-04-14 |
| 1093341133 | Chloe Lundquist | Dietitian, Registered | 626 1/2 W Galena St, Butte, MT 59701-1508 | 2020-03-20 |
| 1609401496 | Cailyn Schroeder | Dietitian, Registered | 117 Hideaway Trl, Livingston, MT 59047-8933 | 2020-03-11 |
| 1801431978 | Ashlee O'dell | Dietitian, Registered | 144 3rd St W Apt 3, Whitefish, MT 59937-3055 | 2019-11-13 |
| 1750933891 | Mercedes Seidel | Dietitian, Registered | 309 E Garfield St Apt F, Bozeman, MT 59715-5729 | 2019-07-09 |
| 1225696834 | Linda Kay Fredenberg | Dietitian, Registered | 1297 Burns Way Ste 3b, Kalispell, MT 59901-3162 | 2019-05-30 |
| 1659832939 | Rene Lindeen LLC | Dietitian, Registered | 1215 24th St W Ste 130, Billings, MT 59102-3895 | 2019-03-28 |
| Find all providers with the same taxonomy | ||||
| City | CROW AGENCY |
| Zip Code | 59022 |
Please comment or provide details below to improve the information on SUSAN A 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.