Jordyn Bodkin, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

11019019 Issued in FL

Practice address

83 Pondella Rd
North Fort Myers, FL 33903-4411

Phone

(239) 461-6100

NPI assigned

Oct 26, 2022

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Cape Coral Integrated Medical

  • Physical Medicine & Rehabilitation Physician
  • Cape Coral, FL
  • NPI 1255932703
  NPD
• Florida Department of Health

  dba Lee County Health Department

  • Public Health or Welfare Agency
  • Fort Myers, FL
  • NPI 1154392686
  NPD
• Florida Department of Health

  dba Levy County Health Department

  • Public Health or Welfare Agency
  • Bronson, FL
  • NPI 1154395390
  NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1104543404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 FIRST ST APT 214",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339012984",
            "telephone_number": "239-440-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 PONDELLA RD",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034411",
            "telephone_number": "239-461-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODKIN",
        "first_name": "JORDYN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "11019019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delaney Ann Blackwell
• Lisa Blanton
• Blue Sky Medical LLC
• Blue Sprig
• Lilliam Blundell, LCSW
• Quinntella Denise Bond
• Omaida D. Borjas, NP
• Julie Bowditch, DPT
• Alexandra G Bowen Cruzati, MASSAGE THERAPIST
• Karen Boyer, MPT

• Women's Health Nurse Practitioner in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Women's Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.