Individual provider Active NPI

Jenna Colleen Jordan, M.D.

  • Internal Medicine Physician
  • Metairie, LA
National Provider Identifier
1104269331
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.207594 Issued in LA
Practice address
4315 Houma Blvd Ste 500
Metairie, LA 70006-2942
Phone
(504) 889-5250
Fax
(504) 889-5288
NPI assigned
Apr 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD.207594 LA Primary

Addresses

Primary practice location

4315 Houma Blvd Ste 500
Metairie, LA 70006-2942

Mailing address

4315 Houma Blvd Ste 500
Metairie, LA 70006-2942
Phone (504) 889-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504000241 LA Practitioner - Internal Medicine 8820398969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Practice addresses (Care Compare)

13100 River Rd
Destrehan, LA 70047-5219
Phone (985) 764-7669

Hospital & facility affiliations

  • Ochsner Home Health of New Orleans Home health agency, Metairie, LA, CCN 197203
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • St Charles Parish Hospital Hospital, Luling, LA, CCN 190079
  • Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • St Bernard Parish Hospital Hospital, Chalmette, LA, CCN 190308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jun 1, 2016 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Current Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G CurrentSince Jun 1, 2016 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 1, 2019 Accepting new patients

Locations

13100 River Rd
Destrehan, LA 70047
Phone (504) 701-3652

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

2005 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 836-9820

4430 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 433-7203

1542 Tulane Ave
New Orleans, LA 70112
Phone (504) 866-2741

1514 Jefferson Hwy
New Orleans, LA 70121

2832 Burdette St
New Orleans, LA 70125
Phone (504) 866-2741

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: jjordan153887@direct.ochsner.org

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1104269331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062942",
            "telephone_number": "504-889-5250",
            "fax_number": "504-889-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 HOUMA BLVD STE 500",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062942",
            "telephone_number": "504-889-5250",
            "fax_number": "504-889-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JENNA",
        "middle_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.207594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.