ANDREA JORDAN (NPI# 1972922888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972922888 |
| Entity Type | Individual |
| Full Name | ANDREA JORDAN |
| Practice Address |
910 W 5th Ave Suite 102 Spokane WA 99204-2966 |
| Mailing Address |
Po Box 3868 Spokane WA 99220-3868 |
| Practice Telephone | 5092281000 |
| Practice Fax Number | 5092529300 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2014-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WX0200X |
Registered Nurse Specialization: Oncology |
RN60095382 | WA | Nursing Service Providers |
| N | 246ZS0410X |
Specialist/Technologist, Other Specialization: Surgical Technologist |
ST60400874 | WA | Technologists, Technicians & Other Technical Service Providers |
| 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 |
| 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 |
910 W 5TH AVE SUITE 102 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663835 | Ted A. Branstetter | Physician Assistant | 910 W 5th Ave, Ste 1000, Spokane, WA 99204-2966 | 2005-07-19 |
| 1053944520 | Dani Michelle Whitmore | Advanced Practice Midwife | 910 W 5th Ave, Spokane, WA 99204-2966 | 2020-02-12 |
| 1205354727 | Abigail Lee Blumenthal | Physician Assistant | 910 W 5th Ave, Spokane, WA 99204-2966 | 2017-09-05 |
| 1396195459 | Rockwood Clinic Ps | Durable Medical Equipment & Medical Supplies | 910 W 5th Ave, Suite 500, Spokane, WA 99204-2966 | 2016-06-20 |
| 1588018592 | Mason Maurice Van Nostrand | Physician Assistant | 910 W 5th Ave, Suite 900, Spokane, WA 99204-2966 | 2016-04-15 |
| 1447621578 | Rockwood Clinic, P.s. | Non-Pharmacy Dispensing Site | 910 W 5th Ave, Suite 700, Spokane, WA 99204-2966 | 2015-10-15 |
| 1255719670 | Daniel Rodgers | Dietitian, Registered | 910 W 5th Ave, Suite 800, Spokane, WA 99204-2966 | 2015-05-18 |
| 1932594587 | Staci Dumerton | Physician Assistant | 910 W 5th Ave, Suite 800, Spokane, WA 99204-2966 | 2015-03-31 |
| 1093134074 | Megan Marion | Registered Nurse | 910 W 5th Ave, Suite 102, Spokane, WA 99204-2966 | 2014-04-07 |
| 1023369527 | Gregory R. Lang | Physician Assistant | 910 W 5th Ave, Suite 1000, Spokane, WA 99204-2966 | 2012-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 163WX0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487073318 | Alison Ingham | Registered Nurse | 605 E Holland Ave, Suite 100, Spokane, WA 99218-2225 | 2014-04-08 |
| 1003235086 | Jennifer Keefer | Registered Nurse | 601 S Sherman St, Spokane, WA 99202-1311 | 2014-04-07 |
| 1093134074 | Megan Marion | Registered Nurse | 910 W 5th Ave, Suite 102, Spokane, WA 99204-2966 | 2014-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316554017 | Yuiho Walker Mrozinski | Registered Nurse | 9924 Ne 185th St Apt 549, Bothell, WA 98011-3512 | 2020-09-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1376853424 | Marcia Deleon Hurst | Registered Nurse | 635 Council Crest Ct, Kalama, WA 98625-9404 | 2010-10-07 |
| 1538260708 | Gerilyn Tolentino Corpuz | Registered Nurse | 10011 Bridgeport Way Sw Ste 1500, Pmb #289, Lakewood, WA 98499-2332 | 2006-09-26 |
| 1942808506 | Mandie Michelle Brown | Registered Nurse | 4525 3rd Ave Se, Lacey, WA 98503-1010 | 2020-10-15 |
| 1922614650 | Bradley Tyler | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-09-17 |
| 1457964553 | Doanh Que Ngo | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-08-28 |
| 1619503620 | Briana Sanger | Registered Nurse | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-03-21 |
| 1285267757 | Karen Young Survis | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-02-12 |
| 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.