DR. JORDAN RAE MATTHEW (NPI# 1649772955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649772955 |
| Entity Type | Individual |
| Full Name | DR. JORDAN RAE MATTHEW |
| Other Name | JORDAN RAE LOCKE |
| Credential | DC |
| Practice Address |
3305 W Kennedy Blvd Tampa FL 33609-2903 |
| Practice Telephone | 7278233151 |
| Mailing Telephone | 7278233151 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2018000022 | MO | Chiropractic Providers |
| Y | 111N00000X | Chiropractor | 12429 | FL | Chiropractic Providers |
| Street Address |
3305 W KENNEDY BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285643924 | Craig Alan Newman | Chiropractor | 3305 W Kennedy Blvd, Tampa, FL 33609-2903 | 2006-08-05 |
| 1508161043 | Craig A Newman,d.c.,p.a. | Chiropractor | 3305 W Kennedy Blvd, Tampa, FL 33609-2903 | 2011-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791082 | Champion Wellness Center of The Heights | Chiropractor | 800 W Martin Luther King Jr Blvd, Suite 3, Tampa, FL 33603 | 2020-02-12 |
| 1780215798 | Rachel Emma Marr | Chiropractor | 2901 W Busch Blvd Ste 910, Tampa, FL 33618-4573 | 2020-01-29 |
| 1023648656 | Dia Laurencia Carter | Chiropractor | 106 S Armenia Ave, Tampa, FL 33609-3308 | 2020-01-23 |
| 1205466455 | Grant Elliott | Chiropractor | 317 N Dale Mabry Hwy, Tampa, FL 33609-1238 | 2020-01-16 |
| 1740810860 | Mikkel Bahamondes | Chiropractor | 5830 Memorial Hwy Apt 1401, Tampa, FL 33615-5064 | 2020-01-16 |
| 1912548355 | Az Medical Center, LLC | Chiropractor | 3911 W Waters Ave Ste 13, Tampa, FL 33614-1950 | 2019-10-07 |
| 1710530977 | Jonathan Moukhtafi | Chiropractor | 16210 Saint Michelle Ct, Tampa, FL 33647-5100 | 2019-07-17 |
| 1215599014 | Christopher Bush | Chiropractor | 12233 N Florida Ave Ste 200, Tampa, FL 33612-4270 | 2019-07-01 |
| 1396220562 | Jesse Law | Chiropractor | 110 S Manhattan Ave Apt 68, Tampa, FL 33609-3877 | 2018-10-03 |
| 1750875399 | Alex Lambert Holdings, Pllc | Chiropractor | 1623 E 4th Ave, Unit 106, Tampa, FL 33605 | 2018-06-18 |
| Find all providers in TAMPA | ||||
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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.