SARA L JORDAN (NPI# 1912564980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912564980 |
| Entity Type | Individual |
| Full Name | SARA L JORDAN |
| Practice Address |
812 3rd St Marietta OH 45750-1803 |
| Practice Telephone | 7403715476 |
| Practice Fax Number | 7403715482 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.170569 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035893 | Sara Jordan | Behavioral Analyst | 18489 Buckeye Ave, Nampa, ID 83687-8184 | 2019-07-17 |
| 1245707348 | Sara Jordan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-10-26 |
| 1831434166 | Sara Jordan | Psychologist | 6303 Owensmouth Ave, Floor 10, Woodland Hills, CA 91367-2264 | 2012-11-27 |
| 1265694632 | Sara G Jordan | Obstetrics & Gynecology | 711 Main St, Nashville, TN 37206-3605 | 2008-06-27 |
| 1902085822 | Sara M Jordan | Obstetrics & Gynecology | 2400 Unser Blvd Se, 1st Floor, Tower 2, Rio Rancho, NM 87124-4740 | 2007-10-27 |
| Street Address |
812 3RD ST |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871109629 | Kristen Leann Mcintyre | Counselor | 812 3rd St, Marietta, OH 45750-1803 | 2020-09-17 |
| 1285254409 | Megan Smith | Counselor | 812 3rd St, Marietta, OH 45750-1803 | 2020-04-17 |
| 1245859750 | Melissa Ann Martin | Counselor | 812 3rd St, Marietta, OH 45750-1803 | 2020-04-14 |
| 1740812924 | Danielle Renee Zyla | Licensed Practical Nurse | 812 3rd St, Marietta, OH 45750-1803 | 2020-02-06 |
| 1780222646 | Janet Lee | Registered Nurse | 812 3rd St, Marietta, OH 45750-1803 | 2019-12-11 |
| 1205479664 | Jonathan Hendrickson | Licensed Practical Nurse | 812 3rd St, Marietta, OH 45750-1803 | 2019-10-17 |
| 1508408337 | Matthew Alan Joy | Counselor | 812 3rd St, Marietta, OH 45750-1803 | 2019-10-14 |
| 1922659465 | Monica D Bennett | Licensed Practical Nurse | 812 3rd St, Marietta, OH 45750-1803 | 2019-09-26 |
| 1134770597 | Diane Lynn Anderson | Counselor | 812 3rd St, Marietta, OH 45750-1803 | 2019-09-26 |
| 1265098248 | Luke Winters | Counselor | 812 3rd St, Marietta, OH 45750-1803 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194371 | Dana Rene Forshey | Counselor | 1165 Lynch Church Rd, Marietta, OH 45750-7530 | 2019-10-01 |
| 1811540123 | Ashley Baker | Counselor | 1417 Lancaster St, Marietta, OH 45750-7973 | 2019-07-17 |
| 1811485550 | Berneice Harris | Counselor | 120 S Park Sq Ne Ste 205, Marietta, GA 30060-8632 | 2018-04-27 |
| 1598279754 | Marc V Pimsler | Counselor | 2621 Sandy Plains Rd Ste 101, Marietta, GA 30066-4276 | 2017-11-27 |
| 1891217600 | Crossover Outpatient Services LLC | Counselor | 241 Lemon St Ne Ste C, Marietta, GA 30060-1644 | 2017-07-13 |
| 1033646864 | Aminta Osejo | Counselor | 1368 Atlanta Rd Se Ste 111, Marietta, GA 30060-3936 | 2017-05-11 |
| 1144755752 | Kawonda Holland | Counselor | 2117 Caswell Cir, Marietta, GA 30060-9262 | 2017-04-21 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1336518620 | Courtney Stires | Counselor | 1338 Colegate Dr Ste B, Marietta, OH 45750-1329 | 2015-09-17 |
| Find all providers in MARIETTA | ||||
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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.