Amber Jordan

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

AMBER JORDAN

Practice address

10128 S US Highway 25
Corbin, KY 40701-4984

Phone

(606) 595-1500

NPI assigned

Jan 4, 2023

Last updated

Jan 4, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amber Nicole JordanNPI 1265144240

Title

Interventionist

Phone

(606) 595-1500

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amber Nicole Jordan

  • Developmental Therapist
  • Corbin, KY
  • NPI 1265144240
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672790400000",
    "number": "1053024034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2602",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407022602",
            "telephone_number": "606-595-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10128 S US HIGHWAY 25",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407014984",
            "telephone_number": "606-595-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER JORDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-04",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "INTERVENTIONIST",
        "authorized_official_telephone_number": "606-595-1500"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Allen
• Terri Lynn Allen, BS
• Allergy Associates, P.a. (The Allergy, Asthma & Sinus Center)
• Erika Gabrielle Almodovar, MD
• Eric Todd Alsip, MA, LCADC, LPA
• Dustin Scott Ammerman, PA-C
• Eleshia Stephenie Ammerman, PA-C
• Amsol Anesthetists of Kentucky PLLC
• Alyssa Monica Anciro
• Carolyn Sue Anderson, M.ED., CADC

• Early Intervention Provider Agency in Corbin, KY
• Providers in Corbin, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.