Robert Herbert Jordan, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

546 Issued in LA

Practice address

510 E Stoner Ave
Overton Brooks VA Medical Center--116B
Shreveport, LA 71101-4243

Phone

(318) 424-6051

NPI assigned

Aug 31, 2006

Sex

Male

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104937952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 CAPTAIN SHREVE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711053819",
            "telephone_number": "318-861-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E STONER AVE",
            "address_2": "OVERTON BROOKS VA MEDICAL CENTER--116B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014243",
            "telephone_number": "318-424-6051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ROBERT",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Elizabeth Jordan, APRN-CNP
• Mary A Jordan
• Melissa Jordan, RN
• Melissa Fett Jordan
• Paul Alexander Jordan, M.D.
• Theresa Jordan
• Tierene D Jordan, MS, MA
• Jordan'S Crossing Hospice, LLC
• Alvin Jose
• Doran Macdonald Evered Joseph

• Psychologist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.