ANDREA PAOLA JORDAN (NPI# 1811266638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811266638 |
Entity Type | Individual |
Full Name | ANDREA PAOLA JORDAN |
Practice Address |
1485 Stonebrook St Azusa CA 91702-1423 |
Practice Telephone | 6268184926 |
Mailing Telephone | 6268184926 |
Enumeration Date | 2011-12-22 |
Last Update Date | 2014-01-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790169035 | Andrea Jordan | Licensed Practical Nurse | 9008 Burt Rd, Detroit, MI 48228-1610 | 2015-07-16 |
1164035010 | Andrea Jordan | Nurse Practitioner | 1202 Martin Luther King Jr Way, Tacoma, WA 98405-3926 | 2020-08-28 |
1871061879 | Andrea Jordan | Case Manager/Care Coordinator | 300 N Clifton St, Fordyce, AR 71742-3055 | 2018-11-07 |
1255818407 | Andrea L Jordan | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-07-20 |
1972922888 | Andrea Jordan | Registered Nurse | 910 W 5th Ave, Suite 102, Spokane, WA 99204-2966 | 2014-04-08 |
1912331265 | Andrea L Jordan | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106 | 2013-08-22 |
1144661075 | Andrea Elizabeth Jordan | Dentist | 1691 El Camino Real, Suite 200, Palo Alto, CA 94306-1053 | 2013-07-08 |
1023357126 | Andrea Jordan | Counselor | 1101 Broadway St Ste 230, Vancouver, WA 98660-3320 | 2013-02-08 |
1245562321 | Andrea Jordan | Pharmacist | 3000 Ericsson Dr, Ste 100, Warrendale, PA 15086-6501 | 2010-02-01 |
1902056047 | Andrea Jordan | Counselor | 303 W Water St, Flint, MI 48503-5627 | 2008-09-25 |
Street Address |
1485 STONEBROOK ST |
City | AZUSA |
State | CA |
Zip Code | 91702-1423 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
Find all providers in zip 91702 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598123309 | Susan Araujo | Rehabilitation Practitioner | 1820 Mirador Dr, Azusa, CA 91702-6245 | 2016-02-08 |
1003163270 | Michael John Michaelides Jr. | Rehabilitation Practitioner | 830 S Azusa Ave Trlr 36, Azusa, CA 91702-5582 | 2012-08-07 |
1396871901 | Roderic J Tate | Rehabilitation Practitioner | 950 W Sierra Madre Ave, Azusa, CA 91702-1800 | 2007-02-26 |
1174893853 | Richard Joseph Bennett | Rehabilitation Practitioner | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2012-01-11 |
1053690586 | Christina Kabiri | Rehabilitation Practitioner | 918 E Alosta Ave, Azusa, CA 91702-2709 | 2011-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861092447 | Isaiah Daniel Clark | Rehabilitation Practitioner | 33600 Mapleton Ave # D2018, Murrieta, CA 92563-4434 | 2020-10-31 |
1760089122 | Leslie Ann Showalter | Rehabilitation Practitioner | 6720 Tampa Ave, Reseda, CA 91335-5014 | 2020-10-07 |
1508477019 | Brenda Cabrera | Rehabilitation Practitioner | 127 W Hillcrest Blvd, Inglewood, CA 90301-2623 | 2020-08-10 |
1669082202 | Brenda Vargas | Rehabilitation Practitioner | 16650 Sherman Way # 201, Van Nuys, CA 91406-3782 | 2020-08-07 |
1629696042 | Ashlie Renee Javier | Rehabilitation Practitioner | 1266 Calle Estrella, San Dimas, CA 91773-4080 | 2020-07-13 |
1861013757 | Terrisa Noel-rivera Luna | Rehabilitation Practitioner | 11303 Wilshire Blvd Bld 116, Los Angeles, CA 90025-5069 | 2020-05-01 |
1780212852 | Isaiah Sanchez | Rehabilitation Practitioner | 10535 Zelzah Ave, Granada Hills, CA 91344-5902 | 2020-04-01 |
1235766015 | Theresa Matheson | Rehabilitation Practitioner | 15533 Ryon Ave, Bellflower, CA 90706-3624 | 2020-03-24 |
1669008991 | Delman Lee Williams | Rehabilitation Practitioner | 456 E Orange Grove Blvd Ste 140, Pasadena, CA 91104-5235 | 2020-03-18 |
1356976864 | Millea Jewel Betts | Rehabilitation Practitioner | 801 E Chapman Ave # Sut203, Fullerton, CA 92831-3839 | 2020-03-04 |
Find all providers with the same taxonomy |
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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.