ANDREA L JORDAN (NPI# 1912331265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912331265 |
| Entity Type | Individual |
| Full Name | ANDREA L JORDAN |
| Credential | A.D.T. |
| Practice Address |
895 7th St E Saint Paul MN 55106 |
| Mailing Address |
366 Hall Ave Saint Paul MN 55107-1132 |
| Practice Telephone | 6516027500 |
| Mailing Telephone | 6516983185 |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2018-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 124Q00000X | Dental Hygienist | H5837 | MN | Dental Providers |
| Y | 125J00000X | Dental Therapist | DT28 | MN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 636 Broadway St Ne, Minneapolis, MN 554132164 | 6127461530 | 6127461531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790169035 | Andrea Jordan | Licensed Practical Nurse | 9008 Burt Rd, Detroit, MI 48228-1610 | 2015-07-16 |
| 1811266638 | Andrea Paola Jordan | Counselor | 1485 Stonebrook St, Azusa, CA 91702-1423 | 2011-12-22 |
| 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 |
| 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 |
895 7TH ST E |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659331445 | Ilene Rubowitz Moore | Pediatrics | 895 7th St E, Saint Paul, MN 55106-3871 | 2006-03-24 |
| 1285244616 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 895 7th St E, Saint Paul, MN 55106-3871 | 2020-07-31 |
| 1568920346 | Tracy Ann Schrantz | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-11 |
| 1720546526 | Susan L Sanches | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-11 |
| 1760940530 | Lois Ann Berndt | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-11 |
| 1962960997 | Lynn Ruth Anderson | Dental Hygienist | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-03-08 |
| 1013471242 | Abagael Marie Snyder | Nurse Practitioner | 895 7th St E, Saint Paul, MN 55106-3871 | 2019-01-22 |
| 1306318365 | Caitlin Yvonne Strand | Pharmacist | 895 7th St E, Saint Paul, MN 55106-3871 | 2018-12-31 |
| 1730531633 | Kauchee Vang | Pharmacist | 895 7th St E, Saint Paul, MN 55106-3871 | 2016-07-05 |
| 1043670144 | Emily Rumsey | Advanced Practice Midwife | 895 7th St E, Saint Paul, MN 55106-3871 | 2016-03-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| Taxonomy Code | 125J00000X |
| Grouping | Dental Providers |
| Classification | Dental Therapist |
| A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations. |
| Notes: Source: Summarized from Minnesota Statute 150A.105. [7/1/2012: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588220677 | Scott Michael Danzl | Dental Therapist | 393 Dunlap St N Ste 308, Saint Paul, MN 55104-4223 | 2019-05-14 |
| 1538692595 | Jenna Johnson | Dental Therapist | 1790 7th St E, Saint Paul, MN 55119 | 2017-04-06 |
| 1295266476 | Andrew Halverson | Dental Therapist | 450 Syndicate St N, #300, Saint Paul, MN 55104-4107 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264446 | Amber Nichelle Irby | Dental Therapist | 903 W Center St #130, Rochester, MN 55902 | 2020-08-05 |
| 1558835942 | Jennifer Iacobelli | Dental Therapist | 13899 Highway 13 South Frontage Road, Savage, MN 55378 | 2019-01-18 |
| 1992288781 | Katie Ask | Dental Therapist | 13889 Highway 13 S, Frontage Rd, Savage, MN 55378 | 2018-09-08 |
| 1487154092 | Sunny Moon | Dental Therapist | 10584 France Ave S, Bloomington, MN 55431-3538 | 2018-02-20 |
| 1326548454 | Julie Bonham | Dental Therapist | 803 3rd St. Se, Suite 330, Little Falls, MN 56345 | 2018-02-15 |
| 1376077974 | Saritha Gajawada | Dental Therapist | 15354 Plumstone Dr, Eden Prairie, MN 55347-2061 | 2017-04-20 |
| 1649644063 | Brittany Gronland | Dental Therapist | 25730 Smithtown Rd, Excelsior, MN 55331-8592 | 2015-11-23 |
| 1124405857 | Jenna Susanne Marquardt | Dental Therapist | 209 South 1st Street, Montevideo, MN 56265 | 2015-05-01 |
| 1558751495 | Weston Mark Schmidt | Dental Therapist | 411 East Howard St., Jacobson Family Dentistry PC, Hibbing, MN 55746 | 2015-01-30 |
| 1003230137 | Janelle Jehn | Dental Therapist | 4342 4th Ave S, Minneapolis, MN 55409-2155 | 2014-02-10 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
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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.