Active NPI
Sheila Ann Jordan, RN
- Registered Nurse
- High Point, NC
National Provider Identifier
1093452823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 136685
- Practice address
- 501 E Green Dr
High Point, NC 27260-6700 - Phone
- (336) 641-3245
- NPI assigned
- May 13, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 136685 | NC | Primary |
Addresses
Primary practice location
501 E Green Dr
High Point, NC 27260-6700
Mailing address
4701 Crystal Lake Dr
Greensboro, NC 27410-9351
Phone (336) 317-4930
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136685 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1093452823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 CRYSTAL LAKE DR",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274109351",
"telephone_number": "336-317-4930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 E GREEN DR",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272606700",
"telephone_number": "336-641-3245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "SHEILA",
"middle_name": "ANN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-13",
"last_updated": "2022-05-23",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "136685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.