RENEE S JORDAN (NPI# 1194295634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194295634 |
| Entity Type | Individual |
| Full Name | RENEE S JORDAN |
| Credential | MASTERS IN EDUCATION |
| Practice Address |
145 Victoria Dr Lake Charles LA 70611-4641 |
| Practice Telephone | 3378559773 |
| Practice Fax Number | 3378559776 |
| Mailing Telephone | 3378559773 |
| Mailing Fax Number | 3378559776 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZA2600X |
Specialist/Technologist, Other Specialization: Art, Medical |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114397130 | Renee R Jordan | Day Training, Developmentally Disabled Services | 2281 Oshkosh Ct, Orlando, FL 32818-5258 | 2015-10-02 |
| Street Address |
145 VICTORIA DR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70611-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417100801 | New Beginnings At Lake Charles, LLC | Substance Abuse Rehabilitation Facility | 145 Victoria Dr, Lake Charles, LA 70611-4641 | 2008-10-29 |
| 1518585314 | Kathleen Gregoire | Counselor | 145 Victoria Dr, Lake Charles, LA 70611-4641 | 2020-07-08 |
| 1912539883 | Angela Jo Mcclelland | Counselor | 145 Victoria Dr, Lake Charles, LA 70611-4641 | 2020-02-10 |
| 1396216404 | Bradley Higginbotham | Counselor | 145 Victoria Dr, Lake Charles, LA 70611-4641 | 2018-12-16 |
| 1871063834 | Jeremy Paul Quebodeaux | Counselor | 145 Victoria Dr, Lake Charles, LA 70611-4641 | 2018-12-03 |
| 1285104539 | Kathleen Rose Canterbury | Counselor | 145 Victoria Dr, Lake Charles, LA 70611-4641 | 2018-11-29 |
| 1831616804 | Megan A Fabian | Counselor | 145 Victoria Dr, Lake Charles, LA 70611-4641 | 2017-08-29 |
| 1134545676 | New Beginnings At Lake Charles LLC | Clinic/Center | 145 Victoria Dr, Lake Charles, LA 70611-4641 | 2014-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417429036 | Ochsner Clinic LLC | Internal Medicine | 1355 Sam Houston Jones Pkwy, Ste 355, Lake Charles, LA 70611 | 2018-12-20 |
| 1538669361 | Nafeesa Zindani | Family Medicine | Chadha Medical Clinic 237 Sam Houston Jones Pkwy, Lake Carles, LA 70611 | 2018-02-19 |
| 1265930457 | Mark Kwame Osebre | Pharmacist | 120 Us-171, Moss Bluff, LA 70611 | 2018-01-23 |
| 1255840690 | Eavy's Medical Transportation | Non-emergency Medical Transport (VAN) | 1274 You Winn Rd, Moss Bluff, LA 70611 | 2017-09-28 |
| 1417324112 | Golden Touch LLC | Respite Care | 633 Donna Dr., Lake Charles, LA 70611 | 2015-08-28 |
| 1801299037 | Howard Bosely | Pharmacist | 899 Hwy 171 North, Lake Charles, LA 70611 | 2014-10-02 |
| 1780938266 | Kendra P Achord | Pharmacist | 899 Hwy 171 N, Lake Charles, LA 70611 | 2012-11-05 |
| 1235435314 | John Trahan II Apdc | Dentist | 139 Gloria Dr., Lake Charles, LA 70611 | 2011-02-07 |
| 1629383559 | Michael Rand Pettit | Pharmacist | 114 Gloria Dr, Lake Charles, LA 70611 | 2010-08-16 |
| 1851417844 | Steven Raymond Latiolais | Dentist | 644 Highway 171 N, Suite D, Lake Charles, LA 70611 | 2007-03-21 |
| Find all providers in zip 70611 | ||||
| Taxonomy Code | 246ZA2600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Art, Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629629068 | Beso Makeup | Specialist/Technologist, Other | 3000 26th St Ste B, Metairie, LA 70002-6052 | 2019-09-26 |
| 1376025973 | Gopinath Gopalam | Specialist/Technologist, Other | 9938 Airline Hwy, Baton Rouge, LA 70816-8193 | 2018-08-30 |
| 1568973105 | Frances Aline Pellegrin | Specialist/Technologist, Other | 109 Delaune Ave, Schriever, LA 70395-4335 | 2017-10-23 |
| City | LAKE CHARLES |
| Zip Code | 70611 |
Please comment or provide details below to improve the information on RENEE S 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.