JORDAN OWENS (NPI# 1376044339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376044339 |
| Entity Type | Individual |
| Full Name | JORDAN OWENS |
| Practice Address |
2628 Hatteras Cir Waldorf MD 20601-5294 |
| Practice Telephone | 2404911248 |
| Mailing Telephone | 2404911248 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356806780 | Jordan Christopher Owens | Case Manager/Care Coordinator | 203 E Academy Ave, Jennings, LA 70546-5331 | 2019-02-11 |
| 1659613990 | Jordan Michael Owens | Family Medicine | 520 Douglas Blvd, Tyler, TX 75702 | 2013-03-25 |
| 1659693109 | Jordan Owens | Speech-Language Pathologist | 42 W Madison St, Chicago, IL 60602-4309 | 2010-02-25 |
| Street Address |
2628 HATTERAS CIR |
| City | WALDORF |
| State | MD |
| Zip Code | 20601-5294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
| 1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
| 1609321637 | Kierra Jordan | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601 | 2016-08-19 |
| 1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
| 1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
| 1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
| 1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
| 1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
| Find all providers in zip 20601 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003353517 | Kierra Croons | Student in an Organized Health Care Education/Training Program | 12478 Turtle Dove Pl, Waldorf, MD 20602-1402 | 2017-01-22 |
| 1609033042 | Oluwafemi Charles Igberase | Student in an Organized Health Care Education/Training Program | 3013 Kaspar Ct, Waldorf, MD 20603-5705 | 2008-05-22 |
| 1205440385 | Tyla Ashlee Bates | Student in an Organized Health Care Education/Training Program | 3 Post Office Rd Ste 105, Waldorf, MD 20602-2756 | 2020-09-04 |
| 1841804069 | Mary Margaret Mcclean | Student in an Organized Health Care Education/Training Program | 3 Post Office Rd Ste 105, Waldorf, MD 20602-2756 | 2020-09-04 |
| 1417595919 | Megan Long | Student in an Organized Health Care Education/Training Program | 11325 Pembrooke Sq Ste 115, Waldorf, MD 20603-4807 | 2019-12-16 |
| 1629613112 | Casey Watson | Student in an Organized Health Care Education/Training Program | 11325 Pembrooke Sq, Waldorf, MD 20603-4807 | 2019-11-08 |
| 1376187278 | Leah Hester | Student in an Organized Health Care Education/Training Program | 3 Post Office Rd Ste 105, Waldorf, MD 20602-2756 | 2019-11-04 |
| 1376193078 | Cierra Kenney | Student in an Organized Health Care Education/Training Program | 3 Post Office Rd Ste 105, Waldorf, MD 20602-2756 | 2019-09-13 |
| 1700441979 | Marquia Jones | Student in an Organized Health Care Education/Training Program | 11325 Pembrooke Sq Ste 115, Waldorf, MD 20603-4807 | 2019-05-03 |
| 1952869158 | Laura Loomis | Student in an Organized Health Care Education/Training Program | 3 Post Office Rd Ste 105, Waldorf, MD 20602-2756 | 2019-03-06 |
| Find all providers in WALDORF | ||||
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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.