REBECCA JORDY (NPI# 1134659204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134659204 |
| Entity Type | Individual |
| Full Name | REBECCA JORDY |
| Practice Address |
100 E Ferguson St Ste 1204 Tyler TX 75702-5700 |
| Mailing Address |
5905 Raleigh Dr Tyler TX 75703-5635 |
| Practice Telephone | 9035092040 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 113481 | TX | Student, Health Care |
| Street Address |
100 E FERGUSON ST STE 1204 |
| City | TYLER |
| State | TX |
| Zip Code | 75702-5700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457539066 | Katrina Deanne Hornsby | Occupational Therapist | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2008-02-06 |
| 1609378793 | Leah Rae Tomez | Speech-Language Pathologist | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2018-03-05 |
| 1033619648 | Renea Schott | Specialist/Technologist | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2018-02-20 |
| 1346796117 | Ashley Nicole Mitchell | Specialist/Technologist | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2016-08-31 |
| 1134673460 | Cindy Sue Zavadil | Occupational Therapy Assistant | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2016-08-03 |
| 1760935191 | Kacee Millsap | Occupational Therapist | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2016-08-02 |
| 1871046490 | Melody Millsap | Occupational Therapy Assistant | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2016-07-31 |
| 1821463720 | Rebecca Brock Hunt | Occupational Therapy Assistant | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2015-12-03 |
| 1760860860 | Megan Courtney Hanna | Occupational Therapy Assistant | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2015-05-11 |
| 1972980779 | Katie Lynn Wilson | Physical Therapist | 100 E Ferguson St Ste 1204, Tyler, TX 75702-5700 | 2015-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1659852507 | Krystal Gayle Lilley | Licensed Vocational Nurse | 100 E Ferguson St Ste 60a, Tyler, TX 75702 | 2018-08-28 |
| 1679029383 | Cynthia Lynn Kalawe | Physical Therapist | 100 E Ferguson, Suite 1204, Tyler, TX 75702 | 2016-09-01 |
| 1649623646 | Susan E Oxford | Social Worker | 13495 Frankston Highway, Tyler, TX 75702 | 2016-07-14 |
| 1053769281 | All Kidz Kan | Home Health | 2902 E Front St, Tyler, TX 75702 | 2016-05-27 |
| 1821415639 | Heather Mullins | Physical Therapy Assistant | 100 E. Ferguson Ste.1204, Tyler, TX 75702 | 2014-03-19 |
| 1346671336 | Dennis Keith Johnson | Dentist | 3081 Hwy. 31 East, Tyler, TX 75702 | 2013-12-02 |
| 1275882201 | Bobby Gibson | Counselor | 401 East Front Street, Ste 233, Tyler, TX 75702 | 2012-09-06 |
| 1144596792 | Tina Marie Borke | Clinical Neuropsychologist | 719 West Front St., Tyler, TX 75702 | 2012-03-28 |
| 1457629529 | James Whaley Rapp | Specialist/Technologist | 430 South Beckham Avenue, Trinity Mother Frances Sports Medicine, Tyler, TX 75702 | 2011-12-05 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512005 | Courtney Yates | Student in an Organized Health Care Education/Training Program | 2920 Northlake Cv, Tyler, TX 75703-7033 | 2020-09-15 |
| 1033723895 | Dylan Horinek | Student in an Organized Health Care Education/Training Program | 913 Beth Dr, Tyler, TX 75703-4813 | 2020-08-31 |
| 1326669060 | Vijay Krishna Kuppurajan | Student in an Organized Health Care Education/Training Program | 11937u Hwy 271, Tyler, TX 75708-3154 | 2020-05-05 |
| 1427615699 | Aiat Radwan | Student in an Organized Health Care Education/Training Program | 11937 U Highway 271, Attn: Kate Wells, Tyler, TX 75708 | 2019-05-23 |
| 1730663436 | Michael Stephen Lowe | Student in an Organized Health Care Education/Training Program | 3201 Lexington Dr, Tyler, TX 75701-6663 | 2018-09-18 |
| 1659855476 | Victoria Ezeh | Student in an Organized Health Care Education/Training Program | 3900 University Blvd # 128, Tyler, TX 75799-6600 | 2018-09-18 |
| 1972086999 | Raul De Jesus Olmos Cervantes | Student in an Organized Health Care Education/Training Program | 1538 N Ross Ave, Tyler, TX 75702-4143 | 2018-09-14 |
| 1942783907 | Deborah Adeyemo | Student in an Organized Health Care Education/Training Program | 2310 Haverhill Dr Apt 812, Tyler, TX 75707-4511 | 2018-09-14 |
| 1518491588 | Azael Arizpe Jr. | Student in an Organized Health Care Education/Training Program | 1530 Lenora Ave, Tyler, TX 75702-2632 | 2017-04-17 |
| 1609224393 | Nicole Goodman | Student in an Organized Health Care Education/Training Program | 13172 State Highway 64 E, Tyler, TX 75707-5340 | 2016-06-02 |
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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.