BROOKE JORDAN (NPI# 1114142205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114142205 |
Entity Type | Individual |
Full Name | BROOKE JORDAN |
Credential | A.R.N.P |
Practice Address |
5901 N Lidgerwood St Ste 220 Spokane WA 99208-1122 |
Mailing Address |
10040 W Barberry Rd Cheney WA 99004-9197 |
Practice Telephone | 5094834060 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30007447 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | DSHS PROV # | 1302215 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952730921 | Brooke Amelia Jordan | In Home Supportive Care | 107 Greenwood Ave, Rocky Mount, NC 27804-3739 | 2013-11-10 |
1942645353 | Brooke Taylor Jordan | Behavioral Analyst | 11450 N Meridian St Ste 100, Carmel, IN 46032-4688 | 2013-04-30 |
1790267235 | Brooke Totty Jordan | Dentist | 1206 Highway 78 E, Jasper, AL 35501-3939 | 2018-08-31 |
1639513294 | Brooke Leann Jordan | Family Medicine | 1500 S Main St, Fort Worth, TX 76104-4917 | 2013-04-24 |
1689917510 | Brooke J Jordan | Licensed Psychiatric Technician | 2178 Johnson Ave, San Luis Obispo, CA 93401-4535 | 2013-03-28 |
1487843926 | Brooke A Jordan | Registered Nurse | Usag Ansbach Health Clinic, Unit 28614, Apo, AE 09177 | 2007-10-22 |
Street Address |
5901 N LIDGERWOOD ST STE 220 |
City | SPOKANE |
State | WA |
Zip Code | 99208-1122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417459850 | Jared Dudley | Nurse Practitioner | 5901 N Lidgerwood St Ste 220, Spokane, WA 99208-1122 | 2018-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043787161 | Bonnie Rose Spencer | Social Worker | E 44 Cozza, Spokane, WA 99208 | 2018-10-26 |
1235617515 | Melissa Dawn Scholl | Massage Therapist | 906 E Country Hill Ct, Spokane, WA 99208 | 2018-07-30 |
1043706583 | Healthy Schools Washington, Pllc | Pediatrics | 1028 West Rosewood Ave, Spokane, WA 99208 | 2018-07-09 |
1467943720 | Simone Ferguson | Student in an Organized Health Care Education/Training Program | 7808 North Morton Avenue, Apt. # 675, Spokane, WA 99208 | 2018-05-22 |
1912496035 | Ascend Network Corp | Counselor | 3711 W Woodside, Spokane, WA 99208 | 2018-05-03 |
1023522216 | Cherrywood Place-spokane, LLC | Assisted Living Facility | 100 East Dalke Ave, Spokane, WA 99208 | 2017-11-27 |
1881118792 | Annie Kamau | Registered Nurse | 5920 W Lonewolf, Spokane, WA 99208 | 2017-08-01 |
1609303908 | Jeffery Anthony Glinski | Counselor | 3754 W. Indian Trail Rd., Spokane, WA 99208 | 2017-05-17 |
1487186938 | Mukhlis Azar | Physical Therapy Assistant | 305 E Sierra Ct, Spokane, WA 99208 | 2017-04-03 |
1154796241 | Daisy O'dell | Marriage & Family Therapist | 515 W. Francis Ave., Suite #8, Spokane, WA 99208 | 2015-12-01 |
Find all providers in zip 99208 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609330992 | Bryan Donald Cress | Nurse Practitioner | 9425 N Nevada St Ste 300, Spokane, WA 99218-1286 | 2019-01-30 |
1922570373 | Cassandra Lynn Prewitt | Nurse Practitioner | 400 E 5th Ave # 1, Spokane, WA 99202-1334 | 2018-12-26 |
1447743117 | Matthew Kilgore | Nurse Practitioner | 707 W 7th Ave Ste 290, Spokane, WA 99204-2833 | 2018-06-07 |
1902252505 | Richard D Ervin | Nurse Practitioner | 1820 W Pepper Ln, Spokane, WA 99218-2759 | 2016-05-12 |
1396118469 | Kerry Lee Traugott | Nurse Practitioner | 2405 E 17th Ave, Suite 113, Spokane, WA 99223 | 2015-11-11 |
1427427178 | Kristen Bolling | Nurse Practitioner | 6518 E Lyons Ave, Spokane, WA 99217-9700 | 2015-09-23 |
1063897965 | Julia Wolf | Nurse Practitioner | 9631 N Nevada St Ste 202, Spokane, WA 99218-1197 | 2015-07-21 |
1457746737 | Ashley Jones | Nurse Practitioner | 10414 W Highway 2 Ste 10, Spokane, WA 99224-5347 | 2015-04-02 |
1639580111 | Avante Human Services and Advocacy Project LLC | Nurse Practitioner | 1312 N Monroe St Ste 305, Spokane, WA 99201-2623 | 2014-05-18 |
1518387067 | Jennifer Lyn Nava | Nurse Practitioner | 316 W Boone Ave Ste 757, Spokane, WA 99201-2364 | 2014-04-23 |
Find all providers in SPOKANE |
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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.