JACQUITA JORDAN (NPI# 1730558834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730558834 |
| Entity Type | Individual |
| Full Name | JACQUITA JORDAN |
| Practice Address |
1380 E Fillmore St Suite 100 Colorado Springs CO 80907-6460 |
| Practice Telephone | 7196301006 |
| Practice Fax Number | 7196300688 |
| Mailing Telephone | 7196301006 |
| Mailing Fax Number | 7196300688 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0991885 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1380 E FILLMORE ST SUITE 100 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80907-6460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992709653 | Summit Medical Clinic, PC | Internal Medicine | 1380 E Fillmore St, 100, Colorado Springs, CO 80907-6460 | 2005-06-10 |
| 1124559133 | Metwest Inc | Clinical Medical Laboratory | 1380 E Fillmore St, Ste 110, Colorado Springs, CO 80907-6460 | 2017-03-22 |
| 1811901416 | Todd R Knauf | Physician Assistant | 1380 E Fillmore St, Suite 100, Colorado Springs, CO 80907-6460 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124057 | Margaret Elizabeth Macnabb | Occupational Therapist | 955 West Fillmore Street, Colorado Springs, CO 80907 | 2020-01-28 |
| 1598300394 | Eric L Peterson | Counselor | 4570 Hilton Pwky, Colorado Springs, CO 80907 | 2019-11-15 |
| 1669020160 | Vcphcs Xii, LLC | Clinic/Center | 4157-4159 Centennial Blvd, Colorado Springs, CO 80907 | 2019-08-28 |
| 1366907123 | Natural Healthcare, LLC | Chiropractor | 3030 N Hancock Ave Suite D, Colorado Springs, CO 80907 | 2019-02-06 |
| 1063981777 | Samuel Ray Porterfield | Social Worker | Pfc Floyd K. Lindstrom Outpatient Clinic, 3141 Centennial Blvd., Colorado Springs, CO 80907 | 2018-11-26 |
| 1982170114 | A Physicians Home Care | Home Health | 905 W Garden of The Gods Rd Suite F, Colorado Springs, CO 80907 | 2018-10-15 |
| 1689196180 | Reena Annetta Manka | Counselor | 888 Garden of The Gods, 150, Colorado Springs, CO 80907 | 2017-07-17 |
| 1356870356 | Solaris Hc Co Inc | Hospice Care, Community Based | 1045 Garden of Gods Rd, Colorado Springs, CO 80907 | 2017-06-05 |
| 1649704826 | Colorado Springs Urological Associates Pllc | Urology | 1644 Medical Center Point, Suite 200, Colorado Springs, CO 80907 | 2017-04-14 |
| 1194274704 | Sarah Lynn Hartman | Dietitian, Registered | 3207 North Academy Blvd, Colorado, CO 80907 | 2016-09-23 |
| Find all providers in zip 80907 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171247 | Emily Hull-lierheimer | Nurse Practitioner | 4755 Timber Wolf Trl, Colorado Springs, CO 80920-7671 | 2020-07-08 |
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1124587928 | Eileen Quillin | Nurse Practitioner | 2120 N Cascade Ave, Colorado Springs, CO 80907-6729 | 2019-03-19 |
| 1851806798 | Theresa Louise Greenup | Nurse Practitioner | 1980 Dominion Way Ste 101, Colorado Springs, CO 80918-1475 | 2017-12-13 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1710334081 | Ashley Berarducci | Nurse Practitioner | 2993 Broadmoor Valley Rd Ste 103, Colorado Springs, CO 80906-4471 | 2016-05-17 |
| 1689012023 | Rocky Mountain Medical Exams, LLC | Nurse Practitioner | 3510 Galley Rd Ste 104, Colorado Springs, CO 80909-4353 | 2013-06-07 |
| 1649583964 | Sherri Lynne Musgrave | Nurse Practitioner | 6915 Tutt Blvd # 110b, Colorado Springs, CO 80923-3591 | 2010-07-15 |
| 1558673962 | Patricia Smock Thornton | Nurse Practitioner | 2502 E Pikes Peak Ave Ste 100, Colorado Springs, CO 80909-6089 | 2010-07-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80907 |
Please comment or provide details below to improve the information on JACQUITA 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.