Individual provider Active NPI

Danielle Reshonda Jordan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1174495980
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
816581 Issued in NV
Practice address
2121 E Flamingo Rd Ste 202
Las Vegas, NV 89119-5124
Phone
(702) 405-9819
NPI assigned
Sep 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 816581 NV Primary

Addresses

Primary practice location

2121 E Flamingo Rd Ste 202
Las Vegas, NV 89119-5124

Mailing address

4245 Venus Falls Ave
North Las Vegas, NV 89084-5109
Phone (708) 476-3858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260116001399 NV Practitioner - Nurse Practitioner 9931686219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kindora Medical and Wounds PLLCGroup PAC ID 3173031606, 5 clinicians

Practice addresses (Care Compare)

Las Vegas, NV 89183
Phone (702) 625-6455

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
816581NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karing Hearts Behavioral Health Solutions LLC CurrentSince Sep 28, 2025 Accepting new patients
Kindora Medical & Wounds PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

7848 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 833-9740

9890 S Maryland Pkwy
Ste 275
Las Vegas, NV 89183
Phone (702) 625-6455

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJCJDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1174495980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 VENUS FALLS AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845109",
            "telephone_number": "708-476-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E FLAMINGO RD STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195124",
            "telephone_number": "702-405-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DANIELLE",
        "middle_name": "RESHONDA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "816581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.