MS. THERESA JORDAN (NPI# 1366614505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366614505 |
| Entity Type | Individual |
| Full Name | MS. THERESA JORDAN |
| Credential | MS |
| Practice Address |
6035 Fairview Rd Charlotte NC 28210-3256 |
| Practice Telephone | 7042953300 |
| Practice Fax Number | 7042953468 |
| Mailing Telephone | 7042953300 |
| Mailing Fax Number | 7042953468 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2015-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 2218 | NC | Speech, Language and Hearing Service Providers |
| N | 237600000X | Audiologist-Hearing Aid Fitter | 667 | NC | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 16271 | 01 |
| AENTA | 9890230 | 01 | |
| CIGNA | 6335254 | 01 | |
| SC | SAN010 | 05 | |
| NC | 7413304 | 05 | |
| SC | WELLCARE OF SC | 879963 | 01 |
| SC | SELECT HEALTH | 30109414 | 01 |
| NC | RAILROAD MEDICARE PTAN | P01044553 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245839026 | Theresa Jordan | Case Manager/Care Coordinator | 1513 Line Ave, Suite 225, Shreveport, LA 71109 | 2020-10-22 |
| 1023659182 | Theresa Ann Jordan | Licensed Psychiatric Technician | 6950 65th St, Sacramento, CA 95823-2316 | 2019-09-30 |
| 1275187080 | Theresa Elizabeth Jordan | Counselor | 1120 E Main St, Norman, OK 73071-5300 | 2019-07-30 |
| 1235648973 | Theresa Charlene Jordan | Registered Nurse | 635 W College St, Florence, AL 35630-5313 | 2017-09-26 |
| 1508240912 | Theresa Jordan | Psychologist | 410 University Pkwy, Aiken Counseling Group,410 University Pkwy, Suite 2300, Aiken, SC 29801-6810 | 2015-07-15 |
| 1588799910 | Theresa Midkiff Jordan | Registered Nurse | 154 Blountville Bypass, Blountville, TN 37617-0630 | 2007-02-23 |
| Street Address |
6035 FAIRVIEW RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154093 | Jennifer Marie Hull | Physician Assistant | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2005-06-20 |
| 1134747637 | Jeremy Clinton Schwartz | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2020-07-10 |
| 1316564701 | Jessica Dawn Noblitt | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2020-07-01 |
| 1699392381 | Tyler Patrick Ellis | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2020-06-29 |
| 1124645916 | Allison M Loehrke | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2020-06-29 |
| 1710440086 | Greer Mckenzie Bailey | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2019-04-12 |
| 1801359336 | Alexander Luck | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2019-04-11 |
| 1437612959 | Kyndal Gray | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2019-04-11 |
| 1386118354 | Meredyth Blair Hall | Nurse Practitioner | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2019-01-14 |
| 1518451798 | Shelby Swafford | Audiologist | 6035 Fairview Rd, Charlotte, NC 28210-3256 | 2018-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145399 | Courtney Marie Palmiere | Audiologist | 6414 Rea Rd Ste C, Charlotte, NC 28277-3877 | 2019-10-17 |
| 1144590407 | Melissa Karp | Audiologist | 11121 Carmel Commons Blvd, Suite 150, Charlotte, NC 28226 | 2012-01-04 |
| 1124265962 | Anya C Symmonett | Audiologist | 401 E 9th St, Audiology, Charlotte, NC 28202-2533 | 2009-01-15 |
| 1316119555 | Marybeth Scherer Conrad | Audiologist | 302 Lillington Avenue, Charlotte, NC 28211-5400 | 2008-03-27 |
| 1871762666 | Tracey Chapin Krumel | Audiologist | 2711 Randolph Rd Ste 307, Charlotte, NC 28207-2027 | 2008-02-26 |
| 1346449857 | James Wade Kirkland | Audiologist | 3535 Randolph Rd Ste 211, Charlotte, NC 28211-1086 | 2007-07-13 |
| 1356554497 | Alena A Freeman | Audiologist | 11905 John K Hall Way, Charlotte, NC 28277-2855 | 2007-05-07 |
| 1558444554 | Michelle L. Podboreski Finnin | Audiologist | 125 Baldwin Ave Ste 100, Charlotte, NC 28204-3370 | 2006-10-23 |
| 1710070974 | Charlotte Audiology Services | Audiologist | 1928 Randolph Rd Ste 100, Charlotte, NC 28207-1105 | 2006-10-02 |
| 1316911639 | Christina Seaborg | Audiologist | 3601 Carmel Forest Dr, Charlotte, NC 28226-8115 | 2006-02-14 |
| Find all providers in CHARLOTTE | ||||
Please comment or provide details below to improve the information on MS. THERESA 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.