Individual provider Active NPI

Jordan Wesley Taylor, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1154614642
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP119995 Issued in TX
Practice address
7200 Cambridge St FL 10
Houston, TX 77030-4202
Phone
(713) 798-1750
Fax
(713) 798-4693
NPI assigned
May 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 725248 TX
Certified Registered Nurse Anesthetist 367500000X AP119995 TX Primary

Addresses

Primary practice location

7200 Cambridge St FL 10
Houston, TX 77030-4202

Mailing address

7200 Cambridge St FL 10
Houston, TX 77030-4202
Phone (713) 798-1750

Other practice location 1

1635 North Loop West
Houston, TX 77008-1593
Phone (713) 400-2990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110525000483 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 9032395181 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texans Anesthesia Associates PLLCGroup PAC ID 8820171390, 197 clinicians
Endo Sedation LLCGroup PAC ID 4789845363, 289 clinicians

Practice addresses (Care Compare)

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 400-2990

180 Bear Creek Pkwy
Keller, TX 76248-2500
Phone (817) 337-3671

333 N Texas Ave
Suite 1000
Webster, TX 77598-4962
Phone (713) 400-2990

Hospital & facility affiliations

  • Memorial Hermann Houston Physicians Hospital Hospital, Webster, TX, CCN 670008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Aug 1, 2022 Accepting new patients
Bahec LLC CurrentSince Dec 18, 2020 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Aug 1, 2022 Accepting new patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2012 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 23, 2020 Accepting new patients

Locations

950 N 14th St
Ste 100
Beaumont, TX 77702
Phone (409) 833-5555

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

7200 Cambridge St
Fl 10
Houston, TX 77030
Phone 7137981750 ext. 2

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

333 N Texas Ave
Ste 1000
Webster, TX 77598
Phone (281) 557-5620

1015 W Medical Center Blvd
Ste 1500
Webster, TX 77598
Phone (281) 557-3223

500 W Medical Center Blvd
Webster, TX 77598
Phone (713) 447-4650

1015 W Medical Center Blvd
Ste 1200
Webster, TX 77598
Phone (281) 554-3494

Organizations & group practices 7

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 1

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": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1154614642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST FL 10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202",
            "telephone_number": "713-798-1750",
            "fax_number": "713-798-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CAMBRIDGE ST FL 10",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304202",
            "telephone_number": "713-798-1750",
            "fax_number": "713-798-4693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 North Loop West",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770081593",
            "country_code": "US",
            "telephone_number": "713-400-2990",
            "fax_number": "713-400-2993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JORDAN",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "725248",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP119995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.