LISA JORDAN (NPI# 1265909055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265909055 |
| Entity Type | Individual |
| Full Name | LISA JORDAN |
| Practice Address |
430 N Pilgrim St Stockton CA 95205-4428 |
| Practice Telephone | 2094660853 |
| Mailing Telephone | 2094660853 |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 0 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912497108 | Lisa Jordan | Adult Companion | 1515 W 31st St, Jacksonville, FL 32209 | 2018-05-14 |
| 1306351119 | Lisa Dawn Jordan | Behavior Technician | 20 Cherry Ave, Bradenton, FL 34207-4917 | 2017-12-04 |
| 1669924809 | Lisa Jordan | Social Worker | 163 Stimson St, Palmer, MA 01069-9522 | 2016-11-03 |
| 1417117904 | Lisa Renee Jordan | Physical Therapist | 303 N. Hurstbourne Parkway Suite 200, Paragon Rehabilitation, Louisville, KY 40222 | 2008-06-10 |
| 1790800191 | Lisa L Jordan | Social Worker | 2175 Little Horn Dr, Sheridan, WY 82801-8820 | 2007-03-21 |
| 1902966732 | Lisa Jordan | Acupuncturist | 101 Cottage Ave Ste K, Cashmere, WA 98815 | 2006-12-11 |
| 1861595787 | Lisa Dobson Jordan | Speech-Language Pathologist | 9405 Highway 17 By-pass, Murrells Inlet, SC 29576 | 2006-09-06 |
| 1669453320 | Lisa Jordan | Optometrist | 4 Garden Ctr, Ste 100, Broomfield, CO 80020-7026 | 2005-11-09 |
| 1336769371 | Lisa Elaine Jordan | Counselor | 3510 Steelhammer Dr, Centralia, WA 98531-4551 | 2020-04-20 |
| 1942702196 | Lisa Marie Jordan | Case Manager/Care Coordinator | 1418 Tiger Dr, Thibodaux, LA 70301-4337 | 2018-03-04 |
| Street Address |
430 N PILGRIM ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95205-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073020731 | Sharlett Barnett Rose | Counselor | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2018-01-03 |
| 1346886744 | Anneliese Davis | Counselor | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2019-11-20 |
| 1366086464 | Terry Louis Thomas | Counselor | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2019-10-31 |
| 1558904136 | Angela Moss Burns | Counselor | 430 N Pilgrim St, Stockton, CA 95205 | 2019-10-25 |
| 1003373382 | Paige A Cole | Marriage & Family Therapist | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2019-02-22 |
| 1326511411 | Gayle Hart | Spec/Tech, Health Info | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2019-01-10 |
| 1437627338 | Michael Galindo | Social Worker | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2018-11-08 |
| 1467920447 | Peter Andrew Garin | Counselor | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2018-11-07 |
| 1760959670 | April Lucinda Chavez | Marriage & Family Therapist | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2018-10-29 |
| 1356818728 | Joelida Brown | Counselor | 430 N Pilgrim St, Stockton, CA 95205-4428 | 2018-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801081 | Telegenx, LLC | Durable Medical Equipment & Medical Supplies | 127 S Locust St, Stockton, CA 95205 | 2020-08-12 |
| 1487130191 | Rassiwala Dental Corporation | Dentist | 2043 E Fremont St Ste 8, Stockton, CA 95205 | 2018-07-16 |
| 1518464692 | Szarisse Fernandez | Pharmacist | 2040 E. Mariposa Rd., Stockton, CA 95205 | 2018-04-06 |
| 1467820019 | San Joaquin County Bhs | Non-emergency Medical Transport (VAN) | 1149 N. El Dorado St., Stockton, CA 95205 | 2015-09-11 |
| 1346617651 | Kevin G.y. Tom | Pharmacist | 1528 Fremont St, Stockton, CA 95205 | 2015-08-24 |
| 1578749149 | Peebles Family Care Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 404 North Broadway Ave, Stockton, CA 95205 | 2008-01-14 |
| 1780874149 | Mv Transportation | Non-emergency Medical Transport (VAN) | 1250 South Wilson Way, Mv Transportation Ste #a1, Stockton, CA 95205 | 2007-07-31 |
| 1467513549 | Stockton Pharmacy | Pharmacy | 3330 E Main St, Stockton, CA 95205 | 2006-12-13 |
| 1174155170 | Phillip Brandon Long | Pharmacist | 2040 E Mariposa Rd, Stockton, CA 95205 | 2020-02-07 |
| 1205383320 | Diba Jean Bell | Counselor | 3120 E Anita St, Stockton, CA 95205 | 2016-09-07 |
| Find all providers in zip 95205 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023572641 | Eunhee Kim | Prevention Professional | 807 W Glenwood Cir, Fullerton, CA 92832-1017 | 2019-01-28 |
| 1467943647 | Bcdc Anger Management | Prevention Professional | 9901 Paramount Blvd Ste 114, Downey, CA 90240-3852 | 2018-05-23 |
| 1396248043 | Holly Hartley | Prevention Professional | 4325 S Higuera St, San Luis Obispo, CA 93401-7701 | 2018-03-08 |
| 1245740810 | Iu-mien Community Services | Prevention Professional | 5625 Stockton Blvd, Sacramento, CA 95824-1611 | 2017-10-09 |
| 1700315199 | Positive Imagery Foundation | Prevention Professional | 5906 7th Avenue, Suite 1, Los Angeles, CA 90043 | 2017-06-08 |
| 1548797806 | Alejandro Munoz | Prevention Professional | 3930 Fourth Ave Suite 200, San Diego, CA 92103 | 2017-05-17 |
| 1225564008 | Elizabeth Ann Silva Melo | Prevention Professional | 562 Northwood St, Escalon, CA 95320-9675 | 2017-05-11 |
| 1538695762 | Chinfu Chen | Prevention Professional | 1549 Stone Creek Dr, San Jose, CA 95132-1950 | 2017-05-09 |
| 1669906178 | Kelley Ann Riley | Prevention Professional | 4328 Gresham St, San Diego, CA 92109 | 2017-04-12 |
| 1740713452 | Jami Johnson | Prevention Professional | 74451 Hill Rd, Covelo, CA 95428-9615 | 2017-04-10 |
| 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.