JORDAN CROSLIN (NPI# 1659758555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659758555 |
| Entity Type | Individual |
| Full Name | JORDAN CROSLIN |
| Practice Address |
311 Charleston Dr Lot 19 Cave City AR 72521-8847 |
| Practice Telephone | 8702834552 |
| Mailing Telephone | 8702834552 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
311 CHARLESTON DR LOT 19 |
| City | CAVE CITY |
| State | AR |
| Zip Code | 72521-8847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563321 | Access Medical Clinic Arkansas LLC | Family Medicine | 444 Taylor Circle, Cave City, AR 72521 | 2020-09-17 |
| 1508003542 | Kayla Marie Qualls | Occupational Therapist | 699 Arrowhead Ln., Cave City, AR 72521 | 2009-01-13 |
| 1780705905 | Michael A Wilson | Chiropractor | 619 North Main Street, Cave City, AR 72521 | 2007-04-03 |
| 1760546428 | Melissa Ann Clark | Speech-Language Pathologist | 520 Grange Rd, Cave City, AR 72521 | 2006-12-20 |
| 1396731550 | Andy Davidson | Family Medicine | 301 S Main St, Cave City, AR 72521 | 2005-09-23 |
| 1861408023 | M Wilson Ltd | Chiropractor | 619 North Main St, Cave City, AR 72521-0088 | 2006-07-31 |
| 1942673058 | Robin Lopez | Day Training/Habilitation Specialist | 118 Lillian Dr, Cave City, AR 72521-8803 | 2015-11-11 |
| 1306241666 | Patricia Kourakis | Day Training/Habilitation Specialist | 518 W Center St, Cave City, AR 72521-8815 | 2014-10-29 |
| 1871966986 | Vashti Burns | Day Training/Habilitation Specialist | 28 Roark Dr, Cave City, AR 72521-8834 | 2015-11-11 |
| 1174966022 | Rachel Koch | Day Training/Habilitation Specialist | 201 Charleston Dr Lot 2, Cave City, AR 72521-8845 | 2013-04-10 |
| Find all providers in zip 72521 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942673983 | Rhonda Strain | Day Training/Habilitation Specialist | 352 Curia Creek Ln Apt 6, Cave City, AR 72521-9031 | 2015-11-12 |
| 1871966986 | Vashti Burns | Day Training/Habilitation Specialist | 28 Roark Dr, Cave City, AR 72521-8834 | 2015-11-11 |
| 1942673058 | Robin Lopez | Day Training/Habilitation Specialist | 118 Lillian Dr, Cave City, AR 72521-8803 | 2015-11-11 |
| 1467825570 | Heather Willis | Day Training/Habilitation Specialist | 311 Charleston Dr Lot 17, Cave City, AR 72521-8847 | 2015-11-11 |
| 1306241666 | Patricia Kourakis | Day Training/Habilitation Specialist | 518 W Center St, Cave City, AR 72521-8815 | 2014-10-29 |
| 1104235969 | Jennifer May | Day Training/Habilitation Specialist | 755 Sunset Rdg, Cave City, AR 72521-9317 | 2014-08-06 |
| 1780016022 | Courtney Ewing | Day Training/Habilitation Specialist | 132 Kathenda Dr, Cave City, AR 72521-9016 | 2013-08-08 |
| 1174966022 | Rachel Koch | Day Training/Habilitation Specialist | 201 Charleston Dr Lot 2, Cave City, AR 72521-8845 | 2013-04-10 |
| 1114263571 | Kristen Townsend | Day Training/Habilitation Specialist | 308 Matlock Rd, Cave City, AR 72521-9284 | 2012-12-12 |
| 1780949925 | Kilee Reynolds | Day Training/Habilitation Specialist | 221 Laurel St Apt 14, Cave City, AR 72521-9082 | 2012-07-12 |
| Find all providers in CAVE CITY | ||||
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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.