KESHIA NICHOLE JORDAN (NPI# 1568706307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568706307 |
| Entity Type | Individual |
| Full Name | KESHIA NICHOLE JORDAN |
| Credential | NP |
| Practice Address |
601 South Edwin C Moses Blvd Dayton OH 45417-3424 |
| Practice Telephone | 9377348333 |
| Mailing Telephone | 9377348333 |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.14076-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0084490 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4760 Madison Rd, Cincinnati, OH 452271426 | 5138610035 | |
| 630 Eaton Ave, 2 West, Hamilton, OH 450132767 | 5138672433 | 5138672499 |
| Street Address |
601 SOUTH EDWIN C MOSES BLVD |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919137 | Amy B Jones | Social Worker | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2006-02-06 |
| 1942809660 | Michelle Toops | Registered Nurse | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-10-23 |
| 1912505579 | Anna B Chambers | Registered Nurse | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-10-15 |
| 1639776057 | Johnna G Kovach | Social Worker | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-10-08 |
| 1083229751 | Jenna J Branam | Registered Nurse | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-09-10 |
| 1982219549 | Sarah A Long | Case Manager/Care Coordinator | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-09-10 |
| 1447863550 | Jennifer Marshall | Registered Nurse | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-08-28 |
| 1174136436 | Ericka Hughes | Social Worker | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-08-26 |
| 1437760592 | Megan Schrodi | Social Worker | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-08-12 |
| 1174132922 | Emily M Hunter | Registered Nurse | 601 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2020-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546740 | Kristen Avery Weaver | Nurse Practitioner | 322 High St, Dayton, VA 22821-9548 | 2020-10-17 |
| 1760094155 | Amanda Kenney | Nurse Practitioner | 5619 Hugh Dr, Dayton, OH 45459-1618 | 2020-08-18 |
| 1295371177 | Sophia Arnold | Nurse Practitioner | 5242 Rucks Rd, Dayton, OH 45417-8221 | 2019-11-26 |
| 1811548092 | April Nicole Peveto | Nurse Practitioner | 101 S Prairie St, Dayton, TX 77535-2819 | 2019-09-27 |
| 1659925253 | Marian Kimara Doukoure | Nurse Practitioner | 2615 Wayne Ave, Dayton, OH 45420-1833 | 2019-07-31 |
| 1396200523 | Robert Andre De Roziere Jr. | Nurse Practitioner | Maria Joseph Care Center, 4780 Salem Avenue, Dayton, OH 45416 | 2019-02-01 |
| 1255804795 | Kathlene Jacoby | Nurse Practitioner | 7700 Washington Village Dr Ste 230, Dayton, OH 45459-4094 | 2019-01-08 |
| 1952878811 | Kenneth Howard | Nurse Practitioner | 101 S Prairie St Ste D, Dayton, TX 77535-2819 | 2018-10-30 |
| 1053895789 | Lori Bickett | Nurse Practitioner | 33 W Rahn Rd # 102, Dayton, OH 45429-2219 | 2018-09-19 |
| 1720571193 | Shelby Herbst | Nurse Practitioner | 7076 Corporate Way Ste 201, Dayton, OH 45459-4246 | 2018-06-11 |
| Find all providers in DAYTON | ||||
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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.