JORDAN NASH-BOULDEN (NPI# 1689280034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689280034 |
| Entity Type | Individual |
| Full Name | JORDAN NASH-BOULDEN |
| Practice Address |
6000 S Lakeshore Dr Tempe AZ 85283-3049 |
| Mailing Address |
29210 N 50th Pl Cave Creek AZ 85331-2349 |
| Practice Telephone | 4808383200 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
6000 S LAKESHORE DR |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-3049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669215 | Rhian Kay Sage | Student in an Organized Health Care Education/Training Program | 737 E Fillmore St, Tempe, AZ 85281-1142 | 2020-11-08 |
| 1447863915 | Kristin Riordan | Student in an Organized Health Care Education/Training Program | 735 East Encanto Drive, Tempe, AZ 85281-6816 | 2020-08-25 |
| 1497366843 | Hy K Tran | Student in an Organized Health Care Education/Training Program | 6407 S Stanley Pl Unit C, Tempe, AZ 85283-3831 | 2020-08-10 |
| 1225659543 | Hope Ryan Vickery | Student in an Organized Health Care Education/Training Program | 3255 S Dorsey Ln Apt 1063, Tempe, AZ 85282-3967 | 2020-04-27 |
| 1245870427 | Eric Honaker | Student in an Organized Health Care Education/Training Program | 5250 S Hardy Dr Apt 3102, Tempe, AZ 85283-5218 | 2020-01-15 |
| 1447800388 | Isabel Nicole Mike | Student in an Organized Health Care Education/Training Program | 2030 E Broadway Rd Apt 1072, Tempe, AZ 85282-1747 | 2019-09-12 |
| 1144878588 | Holly Dae Stewart | Student in an Organized Health Care Education/Training Program | 1010 S Una Ave, Tempe, AZ 85281-4334 | 2019-08-28 |
| 1083261960 | Ramses Sanchez Jr. | Student in an Organized Health Care Education/Training Program | 1942 E Alameda Dr, Tempe, AZ 85282-2816 | 2019-08-24 |
| 1225685118 | Matthew Lynn Mcelroy | Student in an Organized Health Care Education/Training Program | 2129 E Kirkland Ln Apt 2, Tempe, AZ 85281-4469 | 2019-08-24 |
| 1467009340 | Parker Hildebrand | Student in an Organized Health Care Education/Training Program | 750 W Baseline Rd Apt 2002, Tempe, AZ 85283-5925 | 2019-08-24 |
| Find all providers in TEMPE | ||||
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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.