Jorden Rosa

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG60470757 Issued in WA

Practice address

1133 Railroad Ave Ste 100
Bellingham, WA 98225-5054

Phone

(360) 393-6127

Fax

(360) 676-2144

NPI assigned

May 20, 2014

Last updated

May 4, 2020By the provider in NPPES

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

Other names 1

• Jorden Soren-Jahnke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1164834545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 RAILROAD AVE STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255054",
            "telephone_number": "360-676-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 RAILROAD AVE STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255054",
            "telephone_number": "360-393-6127",
            "fax_number": "360-676-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "JORDEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-20",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG60470757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDEN",
            "last_name": "SOREN-JAHNKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Peer Specialist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.