Jordan Harborth

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

820968 Issued in TX

Practice address

12345 N Lamar Blvd Ste 260
Austin, TX 78753-1347

Phone

(512) 977-7000

NPI assigned

Jul 25, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TTX Primary Care PLLCGroup PAC ID 7214386770, 2 clinicians

Comprehensive Injury Treatment Services PLLCGroup PAC ID 6406086032, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12141/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Injury Treatment Services PLLC

  dba Anthony Medical and Wellness Center

  • General Practice Physician
  • Temple, TX
  • NPI 1811325954
  Medicare reassignment Care Compare group NPD
• TTX Primary Care, PLLC

  • Adult Health Clinical Nurse Specialist
  • Taylor, TX
  • NPI 1265147821
  Medicare reassignment Care Compare group NPD
• Neurology Solutions Consultants, P.a.

  • Neurology Physician
  • Austin, TX
  • NPI 1952595837
  Medicare reassignment NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

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

{
    "created_epoch": "1437782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1174908677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 N LAMAR BLVD STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531347",
            "telephone_number": "512-977-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 N LAMAR BLVD STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787531347",
            "telephone_number": "512-977-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBORTH",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-25",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "820968",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "820968",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Harbison, C. PED
• Harbor Health Medical Group
• Harbor Home Health LP
• Harbor Hospice of Austin LP (Beacon Hospice of Austin)
• Harbor Medical Equipment, LLC
• Cierra Harbour, RD
• Jacquelyn M Harcus
• Katherine Hardee, MED, ATC, LAT
• Miranda Jo Hardee, MD
• Stephen Walter Hardeman, MD

• Nurse Practitioner in Austin, TX
• Providers in Austin, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; 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.
• 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.