AMANDA NICOLE JORDAN (NPI# 1932403631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932403631 |
| Entity Type | Individual |
| Full Name | AMANDA NICOLE JORDAN |
| Credential | CRNA |
| Practice Address |
701 N 1st St Anesthesia Department Springfield IL 62781-0001 |
| Practice Telephone | 2177883754 |
| Practice Fax Number | 2177887071 |
| Mailing Telephone | 2177883754 |
| Mailing Fax Number | 2177887071 |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2011-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209008600 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ANCC CERTIFICATION | 085405 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083222327 | Amanda Jordan | Counselor | 112 Eston Dr, Goose Creek, SC 29445-7131 | 2020-07-22 |
| 1710044474 | Amanda T. Jordan | Nurse Practitioner | 114 E Presley Blvd, Mccomb, MS 39648-5908 | 2007-01-02 |
| 1861961161 | Amanda Jordan | Behavior Technician | 1613 Prospect Pkwy Ste 110, Fort Collins, CO 80525-9707 | 2018-11-15 |
| 1275014326 | Amanda Michelle Jordan | Occupational Therapist | 720 E Romie Ln, Salinas, CA 93901-4208 | 2018-08-27 |
| 1104332238 | Amanda Jordan | Behavior Technician | 125 Ne 102nd Ave, Portland, OR 97220-4166 | 2017-12-27 |
| 1114433091 | Amanda Rose Jordan | Dental Hygienist | 19 Pettingill St, Lewiston, ME 04240-5903 | 2017-12-14 |
| 1730612524 | Amanda Grady Jordan | Behavioral Analyst | 1107 Alverser Dr, Midlothian, VA 23113-2655 | 2017-04-07 |
| 1194270884 | Amanda S Jordan | Psychologist | 901 7th Ave, Ste 2100, Fort Worth, TX 76104-2722 | 2016-08-23 |
| 1003280843 | Amanda Jordan | Registered Nurse | 200 Elizabeth St, Charleston, WV 25311-2119 | 2015-11-17 |
| 1770969412 | Amanda Jordan | Nurse Practitioner | 333 S Madison St, Muncie, IN 47305-2465 | 2015-08-05 |
| Street Address |
701 N 1ST ST ANESTHESIA DEPARTMENT |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62781-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607123 | Memorial Home Services | Home Health | 701 N 1st St, Springfield, IL 62781-4952 | 2005-05-23 |
| 1316552524 | Mary Ann Seagle | Nurse Practitioner | 701 N 1st St, Springfield, IL 62781-0001 | 2020-09-14 |
| 1497372361 | Amir Mcphearson | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-26 |
| 1508482597 | Kirsten Kay Carew | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-25 |
| 1699391482 | Aruya Davis | Registered Nurse | 701 N 1st St, Springfield, IL 62781-0001 | 2020-06-17 |
| 1497370852 | Alyssa Rose Jimerson | Nurse Anesthetist, Certified Registered | 701 N 1st St, Springfield, IL 62781-0001 | 2020-06-11 |
| 1649895038 | Elisha Boyd | Nurse Practitioner | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-10 |
| 1275158990 | Ashley L Mcgrath | Nurse Anesthetist, Certified Registered | 701 N 1st St, Springfield, IL 62781-0001 | 2020-06-09 |
| 1205451812 | Christopher Evan Bejcek | Orthopaedic Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-09 |
| 1912521790 | Neil Carter Parker | Internal Medicine | 701 N 1st St, Springfield, IL 62702-3757 | 2020-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145747 | Justin Neil Henry | Hospitalist | 701 N 1st St Rm B146, Springfield, IL 62781 | 2010-05-21 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1770518706 | Daniel L Stanton Jr. | Radiology | 701 N. First St, Springfield, IL 62781 | 2006-07-11 |
| 1497914741 | Ted Robert Clark | Emergency Medicine | 701 N. 1st Street, Springfield, IL 62781 | 2008-06-03 |
| 1851486393 | Joan Lewis | Nurse Practitioner | 701 N First St, Springfield, IL 62781 | 2006-10-03 |
| 1548363138 | Pathology Associates of Central Illinois Ltd | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-09-07 |
| 1962511931 | Chad Joseph Defrain | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-30 |
| 1346359320 | Nassim Banisaeed | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-30 |
| 1922111772 | John E Murphy | Pathology | 701 N First Street, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| Find all providers in zip 62781 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629536271 | Cameron David Hayter | Nurse Anesthetist, Certified Registered | 1951 N Citation Ave, Springfield, MO 65802-5406 | 2019-03-03 |
| 1154886810 | Pioneer Sedation Pllc | Nurse Anesthetist, Certified Registered | 3550 Main St Ste 103, Springfield, MA 01107-1077 | 2019-02-07 |
| 1487158390 | Springfield Or Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 1007 Harlow Rd Ste 110, Springfield, OR 97477-7125 | 2018-03-23 |
| 1720325467 | Douglas Hedge Baker II | Nurse Anesthetist, Certified Registered | 100 W North St, Springfield, OH 45504-2547 | 2013-01-15 |
| 1396000816 | Kyle Adam Kirby | Nurse Anesthetist, Certified Registered | 875 E Jackson Rd, Springfield, OH 45502-7403 | 2012-07-10 |
| 1134232077 | Anicia Boutin Young | Nurse Anesthetist, Certified Registered | 55 St George Rd, Springfield, MA 01104 | 2006-08-16 |
| 1669482196 | Leslie Gloe | Nurse Anesthetist, Certified Registered | 5047 S Burrows Ave, Springfield, MO 65810-2054 | 2006-08-08 |
| 1164431805 | William Wynn IIi | Nurse Anesthetist, Certified Registered | 1000 E Primrose St Ste 520, Springfield, MO 65807-5180 | 2006-08-05 |
| 1124089669 | Elise B Arnold | Nurse Anesthetist, Certified Registered | 701 N. 1st Street, Springfield, IL 62781-0001 | 2006-03-31 |
| 1669432415 | Stephen W Wagner Jr. | Nurse Anesthetist, Certified Registered | 701 N Ist St, Springfield, IL 62781-0001 | 2006-03-24 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62781 |
Please comment or provide details below to improve the information on AMANDA NICOLE 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.