Active NPI
Hilary Jordan, CMT, MA
- Specialist
- Grass Valley, CA
National Provider Identifier
1184167959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 57023
- Practice address
- 144 Hughes Rd
Grass Valley, CA 95945-5631 - Phone
- (530) 210-6592
- NPI assigned
- Nov 29, 2016
- Last updated
- Nov 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 57023 | CA | Primary |
Addresses
Primary practice location
144 Hughes Rd
Grass Valley, CA 95945-5631
Mailing address
144 Hughes Rd
Grass Valley, CA 95945-5631
Phone (530) 210-6592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57023 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1184167959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 HUGHES RD",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455631",
"telephone_number": "530-210-6592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 HUGHES RD",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959455631",
"telephone_number": "530-210-6592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "HILARY",
"credential": "CMT, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-29",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "57023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.