JORDAN FOX (NPI# 1174157929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174157929 |
| Entity Type | Individual |
| Full Name | JORDAN FOX |
| Practice Address |
276 Manchester Ave Wabash IN 46992-1808 |
| Mailing Address |
247 Manchester Ave Wabash IN 46992-1806 |
| Practice Telephone | 2605632126 |
| Mailing Telephone | 2605632126 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 28212749A | IN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 71009859A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700433992 | Jordan Fox | Social Worker | 200 W Spring St, Marquette, MI 49855-4661 | 2019-08-22 |
| 1518431766 | Jordan Fox | Physical Therapy Assistant | 5790 Denlinger Rd, Dayton, OH 45426-1838 | 2019-01-21 |
| 1821516196 | Jordan Elizabeth Fox | Counselor | 1963 4th Ave, San Diego, CA 92101 | 2017-09-06 |
| 1538697180 | Jordan Fox | Physical Therapist | 731 E Southlake Blvd Ste 150, Southlake, TX 76092-6380 | 2017-05-26 |
| Street Address |
276 MANCHESTER AVE |
| City | WABASH |
| State | IN |
| Zip Code | 46992-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811914443 | William Rauh | Emergency Medicine | 276 Manchester Ave, Wabash, IN 46992-1808 | 2006-07-17 |
| 1336650795 | Chau N. Jackson | Nurse Practitioner | 276 Manchester Ave, Wabash, IN 46992-1808 | 2017-10-12 |
| 1568803518 | Bridget M Darr | Family Medicine | 276 Manchester Ave, Wabash, IN 46992-1808 | 2013-07-07 |
| 1538239637 | American Health Network of Indiana, LLC | Internal Medicine | 276 Manchester Ave, Wabash, IN 46992-1808 | 2006-11-08 |
| 1790862688 | James Bain | Family Medicine | 276 Manchester Ave, Wabash, IN 46992-1808 | 2006-11-01 |
| 1407933393 | Stephen Fassino | Family Medicine | 276 Manchester Ave, Wabash, IN 46992-1808 | 2006-11-01 |
| 1306931258 | American Health Network of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 276 Manchester Ave, Wabash, IN 46992-1808 | 2006-10-04 |
| 1285745067 | American Health Network of Indiana, LLC | Internal Medicine | 276 Manchester Ave, Wabash, IN 46992-1808 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289169 | Vdp Wabash LLC | Dentist | 278 Manchester Ave., 278 Manchester Ave., Wabash, IN 46992 | 2020-06-10 |
| 1639793870 | Bryan Schmidt | Dentist | 1639 North Cass St, Wabash, IN 46992 | 2020-06-03 |
| 1295279321 | Neil Bever | Chiropractor | 60 West Hill Street, Wabash, IN 46992 | 2016-12-08 |
| 1215393566 | Joshua Ruiz | Counselor | 225 N. Miami Street, Wabash, IN 46992 | 2015-12-31 |
| 1144564626 | Witham Memorial Hospital | Skilled Nursing Facility | 20 John Kissinger Dr, Wabash, IN 46992 | 2012-11-21 |
| 1699041277 | Matthew Richard Riggle | Counselor | 5233 South 50 East, White's Residential and Family Services, Wabash, IN 46992 | 2012-03-28 |
| 1447543541 | Nathan Steven Holley | Chiropractor | 508 North Wabash Street, Wabash, IN 46992 | 2011-05-23 |
| 1700958360 | Robert Mattern Dds | Dentist | 999 Manchester Ave, Wabash, IN 46992 | 2006-11-15 |
| 1154416709 | Tim J Mcvicker | Counselor | 255 N. Miami St., Wabash, IN 46992 | 2006-10-03 |
| 1841395571 | David Lee Frischman | Chiropractor | 508 N Wabash St, Wabash, IN 46992 | 2006-09-14 |
| Find all providers in zip 46992 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093722613 | Shelly S Boone | Nurse Practitioner | 1025 Machester Ave, Wabash, IN 46992-1496 | 2006-08-03 |
| 1336650795 | Chau N. Jackson | Nurse Practitioner | 276 Manchester Ave, Wabash, IN 46992-1808 | 2017-10-12 |
| 1083999627 | Stephanie Nicole Overman | Nurse Practitioner | 1025 Manchester Ave, Wabash, IN 46992-1425 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769948 | Amy Renee Bradley | Nurse Practitioner | 10404 Cerulean Dr, Noblesville, IN 46060-7676 | 2020-10-27 |
| 1083213607 | Medihealth Primary Care LLC | Nurse Practitioner | 2345 W Franklin St Ste 102, Evansville, IN 47712-5100 | 2020-10-23 |
| 1891394599 | Laury Farrell | Nurse Practitioner | 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 | 2020-10-22 |
| 1255930657 | Caitlyn Shuck | Nurse Practitioner | 2641 Marsh Hawk Dr, Greenwood, IN 46143-5749 | 2020-10-19 |
| 1730787599 | Crystal Neal | Nurse Practitioner | 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 | 2020-10-14 |
| 1285240390 | Amy D Perry | Nurse Practitioner | 728 N Cross Pointe Blvd # 102, Evansville, IN 47715-9163 | 2020-09-23 |
| 1013523588 | Amy Deion Stitt | Nurse Practitioner | 738 E 200 N, Warsaw, IN 46582-4658 | 2020-09-21 |
| 1881200152 | Positive Energy Health Center LLC | Nurse Practitioner | 5023 E 56th St Ste 130, Indianapolis, IN 46226-1471 | 2020-09-21 |
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1821615485 | Denise Michelle Alexander | Nurse Practitioner | 815 West 2nd Street, Bloomington, IN 47403-2212 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
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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.