JORDAN D JOHNSON (NPI# 1518589035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518589035 |
| Entity Type | Individual |
| Full Name | JORDAN D JOHNSON |
| Practice Address |
8326 Kelwood Ave Baton Rouge LA 70806-4803 |
| Practice Telephone | 2254789685 |
| Mailing Telephone | 2254789685 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | LA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090953 | Jordan Johnson | Case Manager/Care Coordinator | 19710 Cherry Hill St, Southfield, MI 48076-1061 | 2020-10-12 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1871018366 | Jordan Isaiah Johnson | Licensed Practical Nurse | 4503 Edmond Dr, South Euclid, OH 44121-3907 | 2017-08-07 |
| 1740735620 | Jordan Johnson | Physical Therapist | 137 E 3rd Ave Apt 14, Salt Lake City, UT 84103-5016 | 2016-08-19 |
| 1396114351 | Jordan Johnson | Behavioral Analyst | 146 S Thomas St Ste E, Tupelo, MS 38801-5328 | 2015-09-21 |
| 1881072205 | Jordan Johnson | Technician, Other | 222 6th Ave, Manistee, MI 49660-1318 | 2015-05-18 |
| 1528497286 | Jordan R Johnson | Marriage & Family Therapist | 121 S Alfred St, Suite 9, Alexandria, VA 22314-3049 | 2013-11-04 |
| 1366888174 | Jordan Lloyd Johnson | Dentist | 2232 Bardstown Rd Ste A, Louisville, KY 40205-1986 | 2013-05-20 |
| 1669085981 | Jordan Johnson | Physician Assistant | 990 Nw Circle Blvd Ste 102, Corvallis, OR 97330-1967 | 2020-08-26 |
| 1932723715 | Jordan Tyler Johnson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-06-08 |
| Street Address |
8326 KELWOOD AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740403005 | Association Retarded Citizens Baton Rouge | Respite Care | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2007-04-11 |
| 1629689450 | Jamilyn Patton | Case Manager/Care Coordinator | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-08-14 |
| 1770107310 | Cenea Taylor | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-29 |
| 1558984195 | Mariam Rubio | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-18 |
| 1518589837 | Michael Thomas | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-08 |
| 1548881089 | Diamond Gustave | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-06 |
| 1639790470 | Ontranekia Juni Nixon | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-04 |
| 1780213900 | Amanda Marie Mosshammer | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-04-08 |
| 1184259665 | Marah Bowie | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-03-05 |
| 1194350702 | Angel Norwood | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1770107310 | Cenea Taylor | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-29 |
| 1558984195 | Mariam Rubio | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-18 |
| 1518589837 | Michael Thomas | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-08 |
| 1548881089 | Diamond Gustave | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-06 |
| 1639790470 | Ontranekia Juni Nixon | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-05-04 |
| 1780213900 | Amanda Marie Mosshammer | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-04-08 |
| 1184259665 | Marah Bowie | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-03-05 |
| 1194350702 | Angel Norwood | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-03-04 |
| 1386279099 | Gail Meyers | Peer Specialist | 8326 Kelwood Ave, Baton Rouge, LA 70806-4803 | 2020-03-03 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on JORDAN D JOHNSON.
| 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.