MISS REBECCA JANE JORDAN (NPI# 1437498904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437498904 |
| Entity Type | Individual |
| Full Name | MISS REBECCA JANE JORDAN |
| Practice Address |
2404 Wise Rd Conway SC 29526-5521 |
| Mailing Address |
Po Box 123 Conway SC 29528-0123 |
| Practice Telephone | 8433658884 |
| Practice Fax Number | 8433656685 |
| Mailing Telephone | 8433658884 |
| Mailing Fax Number | 8433656685 |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720697212 | Rebecca Kim Jordan | Rehabilitation Counselor | 175 W 93rd St Apt 10k, New York, NY 10025-9335 | 2020-07-30 |
| 1609270776 | Rebecca Jordan | Dietitian, Registered | 303 N Miller Rd Unit 2018, Scottsdale, AZ 85257-4641 | 2014-10-17 |
| 1861837080 | Rebecca T Jordan | Community Health Worker | 257 Patton Lane, Harriman, TN 37748 | 2013-05-01 |
| 1245574631 | Rebecca Jordan | Counselor | 221 Country Club Ter, Battle Creek, MI 49015-4653 | 2012-11-26 |
| 1992073597 | Rebecca Denise Jordan | Occupational Therapist | 24 Coolidge Rd, Worcester, MA 01602-2709 | 2011-12-09 |
| 1619257607 | Rebecca Lynne Jordan | Massage Therapist | 1304 South College Avenue, 6, Fort Collins, CO 80524 | 2011-08-22 |
| 1972808947 | Rebecca Jordan | Speech-Language Pathologist | 4050 Stone Quarry Rd, Waterford, PA 16441-4746 | 2011-01-21 |
| 1184893356 | Rebecca Palmer Jordan | Speech-Language Pathologist | 410 New Bridge Street Suite 10-a, Jacksonville, NC 28540 | 2008-02-21 |
| 1528120722 | Rebecca Claire Jordan | Physical Therapist | Kessler 141 Route 46 East, Budd Lake, NJ 07828 | 2006-12-14 |
| 1649243528 | Rebecca S Jordan | Psychiatry & Neurology | 7600 Hospital Dr, Suite G, Sacramento, CA 95823-5406 | 2006-02-09 |
| Street Address |
2404 WISE RD |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134158231 | Horry County Comm On Alcohol & Drug Abuse | Substance Abuse Rehabilitation Facility | 2404 Wise Rd, Conway, SC 29526-5521 | 2006-07-01 |
| 1568075182 | Ovp Health Care, Inc. | Family Medicine | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-08-24 |
| 1558990051 | Bailey Erin Ray | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-04-06 |
| 1447889985 | Danielle Remensnyder | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-04-06 |
| 1790317246 | Christina Ann Feathers | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2020-02-12 |
| 1205474814 | Ohio Valley Physicians Inc | Family Medicine | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-12-13 |
| 1922642131 | Eric Michael Curtis | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-10-30 |
| 1033751045 | Lauren Grace Joosten | Social Worker | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-10-10 |
| 1326689340 | Kelsie Massengill | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-10-01 |
| 1588127229 | Reshaya Mcbride | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174189187 | Carolina Health and Recovery | Counselor | 100 Waccamaw River Dr, Conway, SC 29526-7986 | 2019-05-15 |
| 1184061525 | Jeffrey Alan Craddock | Counselor | 901 Bell St, Conway, SC 29526-4113 | 2013-05-24 |
| 1487991832 | Viola Delois Lawrence II | Counselor | 1908 Racepath Ave, Conway, SC 29527-5453 | 2013-01-04 |
| 1922365691 | Jeremiah Taylor | Counselor | 812 Oak St, Conway, AR 72032-4408 | 2012-04-18 |
| 1508059064 | Susan Rae Adams | Counselor | 2329 College Ave, Conway, AR 72034-6225 | 2007-08-19 |
| 1922642131 | Eric Michael Curtis | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-10-30 |
| 1588127229 | Reshaya Mcbride | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2019-04-10 |
| 1003394917 | Sabrina Jelks | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2018-08-02 |
| 1598250409 | Millicent Small | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2018-06-25 |
| 1912496258 | Lauren Claire Alvey | Counselor | 2404 Wise Rd, Conway, SC 29526-5521 | 2018-05-02 |
| Find all providers in CONWAY | ||||
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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.