CANDACE N JORDAN (NPI# 1275975971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275975971 |
Entity Type | Individual |
Full Name | CANDACE N JORDAN |
Credential | OTR |
Practice Address |
216 Main St Lake Village AR 71653-1916 |
Practice Telephone | 8702653950 |
Practice Fax Number | 8702652525 |
Mailing Telephone | 8702653950 |
Mailing Fax Number | 8702652525 |
Enumeration Date | 2013-07-23 |
Last Update Date | 2013-07-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174H00000X | Health Educator | OTR2296 | AR | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | NBCOT | 257815 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790093003 | Candace Marie Jordan | Pharmacist | 3600 30th St, Des Moines, IA 50310-5753 | 2010-09-21 |
1689884868 | Candace Lee Jordan | Massage Therapist | 1505 Broadway, Everett, WA 98201-1721 | 2007-05-23 |
Street Address |
216 MAIN ST |
City | LAKE VILLAGE |
State | AR |
Zip Code | 71653-1916 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467093716 | Brittany Albritton Wilson | Occupational Therapy Assistant | 216 Main St, Lake Village, AR 71653-1916 | 2019-10-07 |
1942666490 | Misty Kaye Ellerbe | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2016-01-13 |
1285076307 | Sarah Vitale Nichols | Occupational Therapist | 216 Main St, Lake Village, AR 71653-1916 | 2013-07-18 |
1821337643 | Rachel M Neal | Occupational Therapist | 216 Main St, Lake Village, AR 71653-1916 | 2013-02-14 |
1063657641 | Valerie Karlena Brooks | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2008-12-10 |
1720248370 | Caroline Sloan Mischke | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2008-06-16 |
1659540813 | Holly Wade | Speech-Language Pathologist | 216 Main St, Lake Village, AR 71653-1916 | 2008-02-21 |
1356528962 | Melody A Mcaffery | Speech-Language Pathologist | 216 Main St, 368 Panther Forrest Road, Lake Village, AR 71653-1916 | 2008-01-25 |
1568650760 | Gina C Mazzanti | Speech-Language Pathologist | 216 Main St, Lake Village, AR 71653-1916 | 2007-10-12 |
1417171687 | Tiffany Denise Fox | Specialist | 216 Main St, Lake Village, AR 71653-1916 | 2007-04-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811500192 | Ashley Brown | Speech-Language Pathologist | 336 Us-82, Lake Village, AR 71653 | 2020-08-26 |
1861901985 | Chicot Memorial Medical Center | Clinic/Center | 2729 S. Hwy 65 82, Lake Village, AR 71653 | 2017-09-20 |
1326586173 | Mainline Health Systems, Inc | Clinic/Center | 360 A Hwy 82, Lake Village, AR 71653 | 2017-02-01 |
1508303124 | Mainline Health Systems, Inc | Clinic/Center | 360 A Highway 82, Lake Village, AR 71653 | 2017-01-20 |
1689120263 | Russell Medical Services Pllc | Family Medicine | 5071 Highway 82 E, Lake Village, AR 71653 | 2016-09-01 |
1528362035 | Hillman Chiropractic LLC | Chiropractor | 2819 Louis Sessions Dr., Lake Village, AR 71653 | 2010-12-28 |
1902113913 | Sheri K Bagwell | Counselor | 1127 Second St., Lake Village, AR 71653 | 2010-09-13 |
1205154044 | Arkansas Department of Health | Public Health or Welfare | 1742 Hwy 65 and 82 South, Lake Village, AR 71653 | 2010-05-04 |
1114259041 | William Jackson Weaver | General Practice | 1754 Lake Hall Road, Lake Village, AR 71653 | 2010-02-03 |
1821246992 | Maurenella Antionette Nelson | Social Worker | 1127 Second Street, Lake Village, AR 71653 | 2008-09-03 |
Find all providers in zip 71653 |
Taxonomy Code | 174H00000X |
Grouping | Other Service Providers |
Classification | Health Educator |
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619514064 | Allison Whittemore | Health Educator | 417 Union Ave E, Wynne, AR 72396-2955 | 2019-12-04 |
1912552860 | Anita Kay Stafford | Health Educator | 11523 Kanis Rd Ste D, Little Rock, AR 72211-3788 | 2019-08-07 |
1679073696 | Quinyatta Patise Mumford | Health Educator | 419 Bob White Dr Apt 153, Little Rock, AR 72205-5177 | 2018-02-16 |
1700260973 | Birth By Design Birth Services | Health Educator | 1155 Parkway St, Conway, AR 72034-3903 | 2015-07-16 |
1023441474 | Kelly Money | Health Educator | 6263 Highway 49s, Paragould, AR 72450 | 2013-08-20 |
1356616049 | Brittney Paige Vespie | Health Educator | 266 Polk Road 289, Cove, AR 71937-9686 | 2012-03-14 |
1083924229 | Misty Cox | Health Educator | 2410 Pine Street, Arkadelphia, AR 71923 | 2010-10-20 |
1871118059 | Ura Resource Center, LLC | Health Educator | 25 Northwood Dr, Conway, AR 72034-3410 | 2020-06-12 |
1891310074 | Latonya Ratesa Bynum | Health Educator | 25 Northwood Dr, Conway, AR 72034-3410 | 2020-06-12 |
1972137586 | Collin Anderson | Health Educator | 2112 S 54th St, Rogers, AR 72758-8169 | 2020-02-24 |
Find all providers with the same taxonomy |
City | LAKE VILLAGE |
Zip Code | 71653 |
Please comment or provide details below to improve the information on CANDACE N 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.