MR. TERRY LEE JORDAN (NPI# 1285066886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285066886 |
| Entity Type | Individual |
| Full Name | MR. TERRY LEE JORDAN |
| Credential | LMSW |
| Practice Address |
4396 Highway 80 Ruston LA 71270-8948 |
| Practice Telephone | 3182514659 |
| Practice Fax Number | 3185133612 |
| Mailing Telephone | 3182514659 |
| Mailing Fax Number | 3185133612 |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2019-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
6606 | LA | Behavioral Health & Social Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1404 S Vienna St, Ruston, LA 712706428 | 3182249200 | 3182249201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548409311 | Terry Lynn Jordan | Social Worker | 50 Lydia Lane, Youth Alternatives Ingraham, South Portland, ME 04106 | 2009-02-18 |
| 1417046327 | Terry T Jordan | Psychiatry & Neurology | 5000 Hwy 39 North, Meridian, MS 39301 | 2006-10-11 |
| 1740222108 | Terry Mark Jordan | Physical Therapist | 400 Hickory St Nw Ste 201, Albany, OR 97321-1700 | 2006-06-11 |
| 1063028736 | Terry L Jordan | Pharmacist | 3425 W Frye Rd, Chandler, AZ 85226-5008 | 2020-09-18 |
| 1396303244 | Terry Mark Jordan | Nurse Practitioner | 2700 Hospital Dr, Northport, AL 35476-3360 | 2019-06-04 |
| 1801286216 | Terry Jordan | Massage Therapist | 333 S State St, Lake Oswego, OR 97034-3932 | 2015-01-23 |
| 1407907959 | Terry M. Jordan | Respiratory Therapist, Registered | 1959 Ne Pacific St, Box 356172, Seattle, WA 98195-0001 | 2007-01-12 |
| 1063509685 | Terry A Jordan | Social Worker | 1530 S Olive St, Los Angeles, CA 90015-3023 | 2006-10-06 |
| 1114987765 | Terry L Jordan | Physician Assistant | 1414 9th Ave, Altoona, PA 16602-2415 | 2006-03-27 |
| Street Address |
4396 HIGHWAY 80 |
| City | RUSTON |
| State | LA |
| Zip Code | 71270-8948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609818285 | Alpine Guest Care, LLC | Skilled Nursing Facility | 4396 Highway 80, Ruston, LA 71270-8948 | 2006-06-11 |
| 1902406291 | Paula June Tucker | Counselor | 4396 Highway 80, Ruston, LA 71270-8948 | 2020-10-27 |
| 1043780851 | Lincoln Nova Vital Recovery Center,llc | Community/Behavioral Health | 4396 Highway 80, Ruston, LA 71270-8948 | 2018-12-05 |
| 1831667104 | Lacy Culver Vincent | Physician Assistant | 4396 Highway 80, Ruston, LA 71270-8948 | 2018-11-05 |
| 1609116334 | Anna Amelia Mcmahon | Counselor | 4396 Highway 80, Ruston, LA 71270-8948 | 2013-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821315 | Olivia Mason | Marriage & Family Therapist | 413 North Homer Street, Ruston, LA 71270 | 2020-11-04 |
| 1972146132 | Razz Addiction and Recovery, LLC | Family Medicine | 570 Heard Rd, Ruston, LA 71270 | 2019-10-21 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1245708718 | A Plus Medical of Ruston LLC | Family Medicine | 612 S Farmerville Street, Ruston, LA 71270 | 2018-11-02 |
| 1255808085 | Amanda M Clark | Specialist/Technologist | 2301 Timberline Ct Apt F105, Ruston, LA 71270 | 2018-10-30 |
| 1912473752 | Lincoln Nova Vital Recovery | Counselor | 4396 Hwy, 80, 617 South Trention, Ruston, LA 71270 | 2018-10-19 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1609391010 | Chemia Herron | Counselor | 775 S Bonner, Ruston, LA 71270 | 2017-08-07 |
| 1477083517 | Arnesha Beard | Counselor | 775 South Bonner, Ruston, LA 71270 | 2017-06-12 |
| Find all providers in zip 71270 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547732 | Brad Roberson | Case Manager/Care Coordinator | 2004 Estate Ln, Ruston, LA 71270-6715 | 2020-08-10 |
| 1154946820 | Alexis Johnay Howard | Case Manager/Care Coordinator | 3285 W California Ave Apt 18, Ruston, LA 71270-1005 | 2020-06-09 |
| 1770048654 | Rosalind Nichole Smith | Case Manager/Care Coordinator | 412 E Texas Ave, Ruston, LA 71270-4553 | 2019-02-05 |
| 1063984276 | Kaelyn Straughter | Case Manager/Care Coordinator | 1211 Skokie Dr, Ruston, LA 71270-5153 | 2018-12-28 |
| 1518435999 | Tenia Holloway | Case Manager/Care Coordinator | 612 Henderson St., F12, Ruston, LA 71270 | 2018-11-05 |
| 1861975237 | Wymeka Andrea Breaux | Case Manager/Care Coordinator | 705 Martin Luther King Dr., Ruston, LA 71270 | 2018-09-12 |
| 1790292001 | Louquyhanta Foster | Case Manager/Care Coordinator | 593 Belton Rd, Ruston, LA 71270 | 2018-01-08 |
| 1043745003 | Willie Smith | Case Manager/Care Coordinator | 775 South Bonnrt, Ruston, LA 71270 | 2017-04-27 |
| 1477002178 | Van Phillips Jr | Case Manager/Care Coordinator | 106 Timbers Ave, Ruston, LA 71270 | 2016-09-23 |
| 1053868836 | Lyntoinette Jones | Case Manager/Care Coordinator | 2708 Kavanaugh Rd, Ruston, LA 71270 | 2016-09-08 |
| Find all providers in RUSTON | ||||
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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.