MELISSA JORDAN (NPI# 1932616059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932616059 |
| Entity Type | Individual |
| Full Name | MELISSA JORDAN |
| Credential | RN |
| Practice Address |
1543 Grimmett Dr Shreveport LA 71107 |
| Mailing Address |
Po Box 918 Doyline LA 71023-0918 |
| Practice Telephone | 3186265597 |
| Practice Fax Number | 3186265691 |
| Mailing Telephone | 3186265597 |
| Mailing Fax Number | 3186265691 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN032030 | LA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548870215 | Melissa Jordan | Licensed Practical Nurse | 5106 Olde Forest Dr, Greensboro, NC 27406-8718 | 2020-08-06 |
| 1659998078 | Melissa Jordan | Nurse Practitioner | 605 Lincoln Dr, Fredericktown, MO 63645-6200 | 2020-07-01 |
| 1639651359 | Melissa Dawn Jordan | Licensed Vocational Nurse | 17722 Fm 974, Bryan, TX 77808-8780 | 2018-08-29 |
| 1033554738 | Melissa Fett Jordan | Obstetrics & Gynecology | 3100 Fairfield Ave, Unit 10a, Shreveport, LA 71104-4152 | 2013-05-08 |
| 1366753451 | Melissa Jordan | Speech-Language Pathologist | 281 Weed Ave, Staten Island, NY 10306-4772 | 2010-06-23 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| 1982058947 | Melissa Rae Jordan | Internal Medicine | 800 Rose St, Lexington, KY 40536-0001 | 2016-04-15 |
| 1396091716 | Melissa Anne Jordan | Nurse Practitioner | 500 W Broadway St Fl 3, Missoula, MT 59802-4008 | 2012-08-03 |
| 1306139373 | Melissa Mobley Jordan | Dentist | 4250 Washington Rd, Evans, GA 30809-3087 | 2011-05-24 |
| 1851529143 | Melissa B Jordan | Acupuncturist | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2009-06-25 |
| Street Address |
1543 GRIMMETT DR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396192993 | Adrienne Lewis Bleakley | Counselor | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2016-05-24 |
| 1053946822 | Edith Nelson | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-03-11 |
| 1659902377 | Marie Riggs | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-01-31 |
| 1619507316 | Charles Corder | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-01-22 |
| 1417587114 | Erica Gordon | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-01-22 |
| 1275163909 | Mark Miller | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-01-22 |
| 1700416443 | Jessica Rodgers | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2020-01-22 |
| 1972148757 | Amber Thomas | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2019-11-15 |
| 1760027262 | Amy Andrys | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2019-11-08 |
| 1669020822 | Kaitlyn Mosely | Case Manager/Care Coordinator | 1543 Grimmett Dr, Shreveport, LA 71107-6505 | 2019-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558743914 | Donna Giordano | Registered Nurse | 1207 Cousin St, Slidell, LA 70458-3842 | 2015-06-22 |
| 1801070859 | Cinderella Marie Broussard | Registered Nurse | 208 W Gloria Switch Rd, Lafayette, LA 70507-3409 | 2007-12-27 |
| 1871693655 | Sherry Ann Spillers | Registered Nurse | 4781 South Grand St, Monroe, LA 71202 | 2006-09-22 |
| 1467550624 | Beverly A Baldwin | Registered Nurse | 4781 S. Grand Street, Monroe, LA 71202 | 2006-09-20 |
| 1194830190 | Sylvia Ritchie | Registered Nurse | Meadow Lane Unit 6 Central State Hosp., Pineville, LA 71360 | 2006-08-20 |
| 1295849503 | Katherine T Fleming | Registered Nurse | Clsh/rrtc, Unit#6 Meadow Lane, Pineville, LA 71630 | 2006-08-17 |
| 1710992391 | Regina Carol Mcleod | Registered Nurse | 401 Rainbow Dr Unit 35, Pineville, LA 71360-6979 | 2006-07-30 |
| 1407468135 | Ronda Vincent | Registered Nurse | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2020-08-24 |
| 1154930915 | Richard Jude Leblanc | Registered Nurse | 1105 Kaliste Saloom Rd, Lafayette, LA 70508-5705 | 2020-07-28 |
| 1851934384 | Kathy Ann Bounds | Registered Nurse | 23515 Highway 190, Mandeville, LA 70448-7334 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
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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.