CRYSTAL JORDAN


Address: 1216 Patrick St, Kissimmee, FL 34741-5534
Phone: 3212614581

CRYSTAL JORDAN (NPI# 1568087724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568087724
Entity Type Individual
Full Name CRYSTAL JORDAN
Practice Address 1216 Patrick St
Kissimmee
FL 34741-5534
Practice Telephone 3212614581
Enumeration Date 2020-06-13
Last Update Date 2020-06-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers CRYSTAL JORDAN

NPI Name Taxonomy Address Enumeration
1609482231 Crystal Lynn Jordan Nurse Practitioner 638 Oakbrook Ave, Chatham, IL 62629 2020-09-18
1902437023 Crystal Nichole Jordan Nurse Practitioner 5662 Tranquility Oaks Dr Unit 204, Tampa, FL 33624-5846 2020-01-28
1003255266 Crystal Marie Jordan Nurse Practitioner 901 Washington St, Portsmouth, OH 45662-3944 2013-06-20

Office Location

Street Address 1216 PATRICK ST
City KISSIMMEE
State FL
Zip Code 34741-5534

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336588813 Serving Children and Reaching Families Case Management 1216 Patrick St, Kissimmee, FL 34741-5534 2013-06-18
1013542323 Lolimar Cortes Case Manager/Care Coordinator 1216 Patrick St, Kissimmee, FL 34741-5534 2020-03-06
1396378113 Abigail Marie Cecchine Counselor 1216 Patrick St, Kissimmee, FL 34741-5534 2020-02-20
1205469020 Melissa Elizabeth Breland Counselor 1216 Patrick St, Kissimmee, FL 34741-5534 2020-02-20
1841820933 Cemico Green Case Manager/Care Coordinator 1216 Patrick St, Kissimmee, FL 34741-5534 2020-01-17
1346889102 Linda Riley Counselor 1216 Patrick St, Kissimmee, FL 34741-5534 2019-12-26
1821634569 Pierangeli Norman Case Manager/Care Coordinator 1216 Patrick St, Kissimmee, FL 34741-5534 2019-11-18
1609225234 Salvador Torres Social Worker 1216 Patrick St, Kissimmee, FL 34741-5534 2016-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083239834 Kathia I Torres Cintron Occupational Therapy Assistant 201 Park Place Blvd Kissimmee Fl 347, Kissimmee, FL 34741 2020-06-08
1992340046 Zynia Spencer Marriage & Family Therapist 345 W. Oak St., Kissimmee, FL 34741 2019-11-13
1225597784 Leila Rosado Counselor All Family, 120 Broadway Suite 204, Kissimmee, FL 34741 2019-03-14
1235610312 Yashirah Castillo Behavior Technician 230 Country Blvd, Apt 6, Kissimmee, FL 34741 2018-08-27
1376021352 Julio Cesar Castellanos Nurse Practitioner 1050 W Carroll St Apt 149, Kissimmee, FL 34741 2018-08-01
1245724715 Sonia Teresa Rodriguez Counselor 3438 W. Vine Street, Kissimmee, FL 34741 2018-06-19
1700376316 Jessica Mateo Social Worker 111 E Monument Ave Unit 412, Kissimmee, FL 34741 2018-05-18
1306340880 George Gianakakos Psychiatry & Neurology 720 W. Oak St., Suite 360, Kissimmee, FL 34741 2018-03-20
1154825693 Mary Catherine Slome Student in an Organized Health Care Education/Training Program 720 W. Oat Street, Ste. 201, Kissimmee, FL 34741 2018-03-20
1457855991 Sherwin Zachariah Thomas Student in an Organized Health Care Education/Training Program 720 W. Oak St., Ste 201, Kissimmee, FL 34741 2018-03-20
Find all providers in zip 34741

Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538768072 Emma Eloisa Cruz Case Manager/Care Coordinator 1105 Cobblestone Cir Apt B, Kissimmee, FL 34744-5563 2020-10-24
1194330746 Lucy Martinez Case Manager/Care Coordinator 870 Perth Pl Apt 104, Kissimmee, FL 34758-3323 2020-09-10
1669083317 Doris N Owah Case Manager/Care Coordinator 765 Gila Dr, Kissimmee, FL 34759-5930 2020-08-14
1629689120 Norma I Gonzalez Case Manager/Care Coordinator 318 Anchovie Ct, Kissimmee, FL 34759-4706 2020-08-10
1134769763 Yilka Paola Ibarra Case Manager/Care Coordinator 2910 Windmill Dr, Kissimmee, FL 34741-7860 2020-01-11
1033757562 Astrid Elizabeth Fernandez Acosta Case Manager/Care Coordinator 3008 Bonfire Beach Dr Apt 102, Kissimmee, FL 34746-5547 2019-12-16
1366092496 Lissie L Williams Case Manager/Care Coordinator 1975 S John Young Pkwy Ste 203, Kissimmee, FL 34741-0605 2019-09-20
1215583547 Ivan David Arvelo Case Manager/Care Coordinator 108 Viola St, Kissimmee, FL 34741-5540 2019-08-13
1740848043 Desiree Soto Case Manager/Care Coordinator 120 Broadway Ste 204, Kissimmee, FL 34741-5705 2019-05-31
1952967168 Sierra Owens Case Manager/Care Coordinator 808 Woodfield Ct, Kissimmee, FL 34744-4649 2019-05-13
Find all providers in KISSIMMEE

Competitor

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City KISSIMMEE
Zip Code 34741

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Dataset Information

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.

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