DR. KRISTA DIANE JORDAN (NPI# 1275623357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275623357 |
| Entity Type | Individual |
| Full Name | DR. KRISTA DIANE JORDAN |
| Credential | PHD |
| Practice Address |
4534 W Gate Blvd Suite 112 Austin TX 78745-1485 |
| Practice Telephone | 5124397360 |
| Practice Fax Number | 5124397371 |
| Mailing Telephone | 5124397360 |
| Mailing Fax Number | 5124397371 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
26883 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427352988 | Krista Jordan | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St Louis Park, MN 55426-4375 | 2010-12-27 |
| 1083806640 | Krista M Jordan | Dietitian, Registered | 5955 Zeamer Avenue, 3rd Mdg/wic Office, Elmendorf Afb, AK 99506 | 2007-08-16 |
| Street Address |
4534 W GATE BLVD SUITE 112 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811952203 | Kathryn A Smathers | Physical Therapist | 4534 W Gate Blvd, Town and Country Pt Ste 104, Austin, TX 78745-1485 | 2006-04-19 |
| 1326590001 | Abri Intergrated Health, Pllc | Counselor | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2016-10-28 |
| 1356798334 | Erin Elizabeth Nightingale | Nurse Practitioner | 4534 W Gate Blvd, Austin, TX 78745-1485 | 2016-05-19 |
| 1841660990 | Eden Elizabeth Davisson | Social Worker | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2015-10-01 |
| 1104203660 | Kelli Foulkrod | Counselor | 4534 W Gate Blvd, Suite 112, Austin, TX 78745-1485 | 2015-05-04 |
| 1629468798 | Lise Nicole Smith | Hearing Instrument Specialist | 4534 W Gate Blvd, Suite 106, Austin, TX 78745-1485 | 2015-01-28 |
| 1063801702 | Lauren Reed | Nurse Practitioner | 4534 W Gate Blvd, Ste 108, Austin, TX 78745-1485 | 2015-01-19 |
| 1861804965 | Greg Marchand Family Medicine Pa | Family Medicine | 4534 W Gate Blvd, Suite113, Austin, TX 78745-1485 | 2014-05-22 |
| 1043563869 | Tekton Research, Inc. | Specialist | 4534 W Gate Blvd, Suite 110, Austin, TX 78745-1485 | 2012-10-17 |
| 1538471974 | Melissa Ann Cereceres | Marriage & Family Therapist | 4534 W Gate Blvd, Austin, TX 78745-1485 | 2010-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241598 | Mellissa Tong | Psychologist | 113 W 33rd St, Austin, TX 78705-2313 | 2020-07-01 |
| 1235754201 | Amanda Max Hilberg | Psychologist | 5900 Balcones Dr Ste 190, Austin, TX 78731-4295 | 2020-06-15 |
| 1427682871 | Charnel Hollier | Psychologist | 1500 W 38th St Ste 31, Austin, TX 78731-6318 | 2020-02-25 |
| 1053950329 | Erin G Underbrink Newins | Psychologist | 2100 Pipers Field Dr Apt 36, Austin, TX 78758-2548 | 2020-01-03 |
| 1629553953 | Pulverman Psychological Services, Pllc | Psychologist | 3160 Bee Caves Rd Ste 300, Austin, TX 78746-5591 | 2018-10-02 |
| 1770079071 | Donna Carpenter | Psychologist | 3724 Jefferson St Ste 200, Austin, TX 78731-6221 | 2018-07-10 |
| 1942790068 | Julia Jeannette Zenteno-montez | Psychologist | 7901 Metropolis Dr # 11a-2, Austin, TX 78744-3111 | 2018-05-14 |
| 1558861583 | Dr. Jillian Racine | Psychologist | 8140 N Mopac Expy Ste 3-225, Austin, TX 78759-8862 | 2018-02-16 |
| 1063921708 | Mariel Smith Cannady | Psychologist | 4407 Pack Saddle Pass, Austin, TX 78745-1623 | 2017-09-26 |
| 1386161750 | Jessica A Peller | Psychologist | 9701 Brodie Ln Ste 205, Austin, TX 78748-6284 | 2017-08-27 |
| Find all providers in AUSTIN | ||||
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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.