AMANDA JORDAN (NPI# 1083222327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083222327 |
| Entity Type | Individual |
| Full Name | AMANDA JORDAN |
| Practice Address |
112 Eston Dr Goose Creek SC 29445-7131 |
| Practice Telephone | 8038995283 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
366 | SC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6951 | SC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710044474 | Amanda T. Jordan | Nurse Practitioner | 114 E Presley Blvd, Mccomb, MS 39648-5908 | 2007-01-02 |
| 1861961161 | Amanda Jordan | Behavior Technician | 1613 Prospect Pkwy Ste 110, Fort Collins, CO 80525-9707 | 2018-11-15 |
| 1275014326 | Amanda Michelle Jordan | Occupational Therapist | 720 E Romie Ln, Salinas, CA 93901-4208 | 2018-08-27 |
| 1104332238 | Amanda Jordan | Behavior Technician | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2017-12-27 |
| 1114433091 | Amanda Rose Jordan | Dental Hygienist | 19 Pettingill St, Lewiston, ME 04240-5903 | 2017-12-14 |
| 1730612524 | Amanda Grady Jordan | Behavioral Analyst | 1107 Alverser Dr, Midlothian, VA 23113-2655 | 2017-04-07 |
| 1194270884 | Amanda S Jordan | Psychologist | 901 7th Ave, Ste 2100, Fort Worth, TX 76104-2722 | 2016-08-23 |
| 1003280843 | Amanda Jordan | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2119 | 2015-11-17 |
| 1770969412 | Amanda Jordan | Nurse Practitioner | 333 S Madison St, Muncie, IN 47305-2465 | 2015-08-05 |
| 1528446135 | Amanda Lorien Jordan | Chiropractor | 103 Charwood Dr, Abingdon, VA 24210-2476 | 2015-05-14 |
| Street Address |
112 ESTON DR |
| City | GOOSE CREEK |
| State | SC |
| Zip Code | 29445-7131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790309953 | Auriel Mcconnell | Home Health | 616 One Mans Court, Mount Pleasant, SC 29445 | 2020-06-03 |
| 1215594023 | Tanova Cornise Robinson | Counselor | 96 Wisteria Road, Goose Creek, SC 29445 | 2019-05-28 |
| 1417421777 | Debra Liana Kerness | Social Worker | 100-a Central Avenue, Suite 203, Goose Creek, SC 29445 | 2019-01-18 |
| 1043663503 | Aimee Nehiley | Dentist | 615 Saint James Ave, Goose Creek, SC 29445 | 2016-07-20 |
| 1881057032 | Eddie Emanuel Nance | Family Medicine | 110 Naval Nuclear Power Training Command Cir, Goose Creek, SC 29445 | 2016-04-04 |
| 1295195188 | Dental Professionals of South Carolina, PC | Dentist | 615 St. James Ave, Goose Creek, SC 29445 | 2016-03-04 |
| 1144603622 | Laryssa Smith | Pharmacist | 215 St. James Ave, Goose Creek, SC 29445 | 2015-07-02 |
| 1730439126 | O'stacia Williamson | Pharmacist | 1316 Redbank Rd, 9, Goose Creek, SC 29445 | 2012-09-13 |
| 1164771275 | Mary Ashley Watts | Pharmacist | 431 B St James Ave Suite I, Goose Creek, SC 29445 | 2012-09-05 |
| 1598048860 | Brianne Michele Terry | Pharmacist | 142 East Saint James Ave, Goose Creek, SC 29445 | 2011-09-23 |
| Find all providers in zip 29445 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477165678 | Susan Strader | Counselor | 443 Green Park Ln, Goose Creek, SC 29445-7321 | 2020-08-19 |
| 1801419122 | Ava Webb | Counselor | 100a Central Ave, Goose Creek, SC 29445-2978 | 2020-05-20 |
| 1235653395 | Monarch Educational Enterprises, LLC | Counselor | 107 Persimmon Cir, Goose Creek, SC 29445-5738 | 2017-07-31 |
| 1710345475 | Holly Hansen | Counselor | 35 Newark Ave, Goose Creek, SC 29445-4513 | 2016-02-09 |
| 1407125479 | Shaneen Dials-corujo | Counselor | 141 Red Bank Road, Ste D, Goose Creek, SC 29445-8042 | 2011-12-21 |
| 1487804985 | Meliza Mangco Ford | Counselor | 418 Stephanie Dr, Goose Creek, SC 29445-3542 | 2008-09-22 |
| 1508822628 | Marvin L Green | Counselor | 179 Fox Chase Dr, Goose Creek, SC 29445-5413 | 2006-04-26 |
| 1720041015 | Foundations Counseling Center LLC | Counselor | 141 Redbank Rd, Suite D, Goose Creek, SC 29445-4518 | 2006-04-08 |
| 1477119865 | Anne E Miracle | Counselor | 100 Central Ave Ste 203a, Goose Creek, SC 29445-2979 | 2019-05-13 |
| 1003288606 | Joni Wiggins, Lpc | Counselor | 108 Central Ave, Suite 5, Goose Creek, SC 29445-3079 | 2015-10-22 |
| Find all providers in GOOSE CREEK | ||||
| City | GOOSE CREEK |
| Zip Code | 29445 |
Please comment or provide details below to improve the information on AMANDA 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.