MRS. MEGAN E. JORDAN (NPI# 1619063674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619063674 |
| Entity Type | Individual |
| Full Name | MRS. MEGAN E. JORDAN |
| Other Name | MEGAN E CAMPBELL |
| Credential | NP |
| Practice Address |
1353 Dorchester Ave Dorchester MA 02122-2932 |
| Mailing Address |
695 Truman Pkwy Suite 203 Hyde Park MA 02136 |
| Practice Telephone | 6172883230 |
| Practice Fax Number | 6178254972 |
| Mailing Telephone | 6173611470 |
| Mailing Fax Number | 6173619060 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 258635 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
258635 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DEA LICENSE | MC1450369 | 01 |
| MA | STATE CONTROLLED LICENSE | MC0640777I | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871996827 | Megan Jordan | Counselor | 1451 S Elm Eugene St Ste 3215, Greensboro, NC 27406-2200 | 2014-10-06 |
| 1043843469 | Megan Jean Jordan | Community Health Worker | 13947 S Newburg Dr, Herriman, UT 84096-6787 | 2020-02-13 |
| 1811479645 | Megan Jordan | Speech-Language Pathologist | 8703 Highway 17 Byp S Ste I, Myrtle Beach, SC 29575-7701 | 2018-08-29 |
| 1295226850 | Megan Jordan | Counselor | 6013 S Redwood Rd, Taylorsville, UT 84123-5220 | 2018-05-19 |
| 1194050849 | Megan O'connor Jordan | Audiologist | 6700 Kirkville Rd, Suite 107, East Syracuse, NY 13057-9305 | 2009-10-14 |
| 1558524074 | Megan Jordan | Internal Medicine | 2424 Erwin Rd, Hock Plaza Suite 602 Room 6054, Durham, NC 27705-3824 | 2008-07-03 |
| Street Address |
1353 DORCHESTER AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02122-2932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750340410 | Holly L Goodale | Specialist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2006-03-21 |
| 1841891728 | Christopher White | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-11-05 |
| 1790393767 | Daniel Rabinowicz | Physical Therapist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-07-16 |
| 1902432826 | Dorreen Danesh | Internal Medicine | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2020-03-23 |
| 1174179857 | Yue Yu | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-08-17 |
| 1316410376 | Rachel Wasserman | Nurse Practitioner | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2019-01-02 |
| 1114402807 | Dorchester House Multi Service Center | Clinic/Center | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-09-27 |
| 1861988503 | Sirena Huang | Optometrist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-07-05 |
| 1336634526 | Stephen Cronk | Dentist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-06-29 |
| 1356842934 | Kyle Andrew Bertram | Pharmacist | 1353 Dorchester Ave, Dorchester, MA 02122-2932 | 2018-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750478004 | Ephlyn U Simms | Nurse Practitioner | 90 Cushing Avenue, Dorchester, MA 02125 | 2006-10-06 |
| 1972901551 | Rose Severe | Nurse Practitioner | 632 Blue Hill Ave, Dorchester, MA 02121-3213 | 2014-12-12 |
| 1942608674 | Emmanuel Bouloute | Nurse Practitioner | 637 Washington St, Dorchester, MA 02124-3510 | 2014-12-11 |
| 1457653123 | Ann Morgan | Nurse Practitioner | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2010-12-01 |
| 1528184835 | Sarah Lay | Nurse Practitioner | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2007-03-21 |
| 1164561643 | Christine Lens | Nurse Practitioner | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2007-02-05 |
| 1144382466 | Allison Oesterle | Nurse Practitioner | 398 Neponset Ave, Dorchester, MA 02122-3134 | 2006-12-14 |
| 1558457770 | Joan A. Delaney | Nurse Practitioner | 637 Washington St, Dorchester, MA 02124-3510 | 2006-10-05 |
| 1780691204 | Donna Hanson | Nurse Practitioner | 100 William T Morrissey Blvd, Dorchester, MA 02125-3300 | 2006-08-01 |
| 1518920149 | Teresa Mirabito | Nurse Practitioner | 250 Mount Vernon St, Dorchester, MA 02125-3120 | 2006-04-06 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02122 |
Please comment or provide details below to improve the information on MRS. MEGAN E. JORDAN.
| 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.