MRS. KRISTA M JORDAN (NPI# 1083806640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083806640 |
| Entity Type | Individual |
| Full Name | MRS. KRISTA M JORDAN |
| Other Name | MISS KRISTA M KIRSCHBAUM |
| Credential | RD |
| Practice Address |
5955 Zeamer Avenue 3rd Mdg/wic Office Elmendorf Afb AK 99506 |
| Practice Telephone | 9075803205 |
| Mailing Telephone | 9075803205 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 130 | AK | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427352988 | Krista Jordan | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St Louis Park, MN 55426-4375 | 2010-12-27 |
| 1275623357 | Krista Diane Jordan | Psychologist | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2006-10-13 |
| Street Address |
5955 ZEAMER AVENUE 3RD MDG/WIC OFFICE |
| City | ELMENDORF AFB |
| State | AK |
| Zip Code | 99506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255658860 | Chadwick J Shade | Psychologist | 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, AK 99506 | 2010-04-23 |
| 1114167905 | James R Hallock | Pharmacist | 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, AK 99506 | 2009-03-06 |
| 1801036603 | Andrew A Beaulieu | Social Worker | 5955 Zeamer Avenue, 3mdg, Elmendorf Afb, AK 99506 | 2009-03-06 |
| 1588803662 | Laura Olienyk | Pharmacist | 5955 Zeamer Avenue, 3mdg, Elmendorf Afb, AK 99506 | 2009-02-12 |
| 1134376700 | William Arnold | Student in an Organized Health Care Education/Training Program | 5955 Zeamer Avenue, 3rd Mdg Sgd, Elmendorf Afb, AK 99506 | 2008-08-26 |
| 1285805069 | Angela M Hallock | Pharmacist | 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, AK 99506 | 2008-03-19 |
| 1205013984 | April M Azaravich | Pharmacist | 5955 Zeamer Avenue, 3rd Mdg/sgsp, Elmendorf Afb, AK 99506 | 2008-01-25 |
| 1043307481 | Lisa K Schuette | Dietitian, Registered | 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, AK 99506 | 2006-10-06 |
| 1851495162 | Matthew J Wolf | Emergency Medicine | 5955 Zeamer Avenue, 3rd Md6, Elmendorf Afb, AK 99506 | 2006-09-08 |
| 1568565927 | Jason Sweeney | Anesthesiology | 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, AK 99506 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538797279 | Mark Pulver | Social Worker | 673mdg, Zeamer Avenue, Joint Base Elmendorf-richardson, AK 99506 | 2020-03-30 |
| 1871052837 | Ryan Kenny Zarnowski | Dentist | 673 Mdg, 5955 Zeamer Avenue, Jber, Ak 99506, Apo, AA 99506 | 2019-03-18 |
| 1679056659 | Bennett Robert Stadler | Physician Assistant | 673 Mdg 5955 Zeamer Avenue, Jber, AK 99506 | 2018-09-14 |
| 1437678687 | Mary Ann Barnard | Nurse Practitioner | Joint Base Elmendorf-richardson Hospital, 5955 Zeamer Ave, Anchorage, AK 99506 | 2017-09-19 |
| 1205375698 | Kuuipo Lau | Social Worker | 673d Mdg, 5955 Zeamer Ave., Jber, AK 99506 | 2017-02-17 |
| 1427434315 | Vance Knauer | Dentist | 673mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-08-03 |
| 1295112159 | Jacob Eby | Pediatrics | 673 Mdg 5955 Zeamer Ave, Jber, AK 99506 | 2015-04-29 |
| 1174956338 | Scott M Cheney | Physical Therapist | 673mdg, 5955 Zeamer Ave, Jber, AK 99506 | 2013-08-12 |
| 1518305580 | Jennifer Lynn Robison | Physician Assistant | 65955 Zeamer Avenue, Jber, AK 99506 | 2013-06-12 |
| 1588939664 | Paul Aaron Garrett | Emergency Medicine | 673rd Mdg, 5955 Zeamer Avenue, Jber, Apo, AA 99506 | 2012-03-21 |
| Find all providers in zip 99506 | ||||
| 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 |
|---|---|---|---|---|
| 1043307481 | Lisa K Schuette | Dietitian, Registered | 5955 Zeamer Avenue, 3rd Mdg, Elmendorf Afb, AK 99506 | 2006-10-06 |
| 1770565848 | David Thomas Brown | Dietitian, Registered | 5955 Zeamer Ave, Elmendorf Afb, AK 99506-3702 | 2005-11-15 |
| 1881684611 | Jane Elizabeth Heetderks-cox | Dietitian, Registered | 5955 Zeamer Ave, 3 Mdg/sgsd, Elmendorf Afb, AK 99506-3702 | 2005-10-24 |
| 1063401453 | Christi Marie Logan | Dietitian, Registered | 5955 Zeamer Ave, 3 Mdss Sgsd, Elmendorf Afb, AK 99506-3702 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631759 | Britta Amber Brecheen | Dietitian, Registered | 3403 Lois Dr, Anchorage, AK 99517-2000 | 2020-08-24 |
| 1518579473 | Soleil Thiele | Dietitian, Registered | 2210 N Broadway Dr, Palmer, AK 99645-9316 | 2020-08-20 |
| 1619593449 | Audrey Conrad | Dietitian, Registered | 16924 Foothill Ave Apt 3, Eagle River, AK 99577-8298 | 2020-06-17 |
| 1952934895 | Lea Palmer | Dietitian, Registered | 22835 Glacier View Dr, Eagle River, AK 99577-9560 | 2020-02-19 |
| 1457919227 | Janne Holmberg Maier | Dietitian, Registered | 250 Cushman St Ste 3h, Fairbanks, AK 99701-4665 | 2019-06-05 |
| 1326506866 | Balance and Nourish | Dietitian, Registered | 25 Jefferson Way Ste 101b, Ketchikan, AK 99901-5953 | 2019-03-04 |
| 1396217261 | Angela Marie Colburn | Dietitian, Registered | 2751 Debarr Rd Ste 250, Anchorage, AK 99508-6818 | 2018-12-17 |
| 1730658493 | Emily Nicole Henry | Dietitian, Registered | 97 Eichner Ave, Ketchikan, AK 99901-9033 | 2018-11-24 |
| 1063997096 | Sabrina Kay Cabana | Dietitian, Registered | 7900 Evander Dr, Anchorage, AK 99518-3107 | 2018-09-25 |
| 1700381134 | Kimberly Leinani Wilcox | Dietitian, Registered | 621 W Dimond Blvd, Anchorage, AK 99515-1704 | 2018-03-27 |
| Find all providers with the same taxonomy | ||||
| City | ELMENDORF AFB |
| Zip Code | 99506 |
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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.