Syriana Alyse Jordan

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

6511 NE 18TH St
Vancouver, WA 98661-6869

Phone

(360) 753-6082

NPI assigned

Jan 21, 2015

Last updated

Jan 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1104215615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 NE 18TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616869",
            "telephone_number": "360-753-6082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6511 NE 18TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986616869",
            "telephone_number": "360-753-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SYRIANA",
        "middle_name": "ALYSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Rose Jordan
• Carolrene Reychelle Jordan
• Craig William Jordan, OD
• Jamie L Jordan, PMHNP
• Marilyn Kimberly Jordan, RN
• Wesley Wren Jordan, M.S.JST
• Laura Jordhen, MD
• Amy Jorgensen, PHARMD
• Jack Denzil Jorgensen, DMD
• Marta Jorgenson

• Adult Care Home Facility in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.