Active NPI
Wendy Jordan, M.ED.
- Rehabilitation Counselor
- San Carlos, CA
National Provider Identifier
1043504665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- Practice address
- 550 Quarry Rd
San Carlos, CA 94070-6221 - Phone
- (650) 802-6482
- Fax
- (650) 596-5162
- NPI assigned
- May 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | Primary |
Addresses
Primary practice location
550 Quarry Rd
San Carlos, CA 94070-6221
Mailing address
550 Quarry Rd
San Carlos, CA 94070-6221
Phone (650) 802-6482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1043504665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 QUARRY RD",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940706221",
"telephone_number": "650-802-6482",
"fax_number": "650-596-5162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 QUARRY RD",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "940706221",
"telephone_number": "650-802-6482",
"fax_number": "650-596-5162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "WENDY",
"credential": "M.ED.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.