Active NPI
Jordan Faith Damiano, NP
- Family Nurse Practitioner
- Richmond, VA
National Provider Identifier
1093229353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024175038
- Practice address
- 1300 Mactavish Ave
Richmond, VA 23230-4633 - Phone
- (804) 977-5900
- NPI assigned
- Nov 24, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024175038 | VA | Primary |
Addresses
Primary practice location
1300 Mactavish Ave
Richmond, VA 23230-4633
Mailing address
856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180122002752 | VA | Practitioner - Nurse Practitioner | 3870852726 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Harmony at Home Provider Services LLC
Practice addresses (Care Compare)
1504 Santa Rosa Rd
RM 116
Henrico, VA 23229-5109
Phone (804) 210-3103
Hospital & facility affiliations
- Welcome Homecare
- Commonwealth Home Care
- James River Home Health Agency
- Bon Secours St Marys Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024175038 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WFS Home Care Enterprises, Inc. Dba at Home Harmony Pharmacy LTC | Current | Accepting new patients | |
| Harmony at Home Provider Services LLC | Current | Accepting new patients |
Locations
1504 Santa Rosa Rd
Rm 116
Henrico, VA 23229
Phone (804) 210-3103
1504 Santa Rosa Rd
Rm 114
Richmond, VA 23229
Phone (804) 210-3103
Interoperability endpoints
- jordan.damiano.1@26346.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Internal Medicine) Physician
- Henrico, VA
- NPI 1245985415
VA
-
- Long Term Care Pharmacy
- Henrico, VA
- NPI 1073256137
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Richmond, VA
- NPI 1851471981
-
- Clinical Medical Laboratory
- Richmond, VA
- NPI 1588129480
Hospital
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Mechanicsville, VA
- NPI 1457687543
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Midlothian, VA
- NPI 1548596638
Hospital
-
- Cardiac Rehabilitation Clinic/Center
- Richmond, VA
- NPI 1902132095
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Richmond, VA
- NPI 1992031348
Hospital
-
- Home Health Agency
- Richmond, VA
- NPI 1285957225
-
- Home Health Agency
- North Chesterfield, VA
- NPI 1790125987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511481600000",
"number": "1093229353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 J CLYDE MORRIS BLVD STE A",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236011318",
"telephone_number": "757-316-5800",
"fax_number": "757-534-5190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MACTAVISH AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232304633",
"telephone_number": "804-977-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMIANO",
"first_name": "JORDAN",
"middle_name": "FAITH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-24",
"last_updated": "2017-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024175038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.