Jordans Place Pediatrics, PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131881 Issued in TX

Legal business name

JORDANS PLACE PEDIATRICS, PA

Practice address

3 Hatley Rd
Belfast, ME 04915-6878

Phone

(800) 868-1792

NPI assigned

Sep 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sherri Barclay, MD

Title

Owner, Provider

Phone

(903) 438-1110

Specialties & licenses 1

Addresses

Tax ID family

Jordans Place Pediatrics PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Jordan'S Place Pediatrics, PA

  • Rural Health Clinic/Center
  • Sulphur Springs, TX
  • NPI 1063277903
  NPD tax ID
• Jordan'S Place Pediatrics, PA

  • Rural Health Clinic/Center
  • Emory, TX
  • NPI 1083443949
  NPD tax ID
• Jordan'S Place Pediatrics, PA

  • Primary Care Clinic/Center
  • Sulphur Springs, TX
  • NPI 1245419431
  NPD tax ID
• Jordan'S Place Pediatrics, PA

  • Pediatrics Physician
  • Emory, TX
  • NPI 1871335091
  NPD tax ID

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1215486642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N HILLCREST DR",
            "city": "SULPHUR SPRINGS",
            "state": "TX",
            "postal_code": "754822091",
            "telephone_number": "903-438-1110",
            "fax_number": "903-438-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HATLEY RD",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156878",
            "telephone_number": "800-868-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDANS PLACE PEDIATRICS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "BARCLAY",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "903-438-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John C. Slaughter,D.D.S
• Ann Teresa Johnson, OPTICIAN
• Jewel Jones, RH.D., CRC, LCPC-C
• John Thomas Jones, M.D.
• Miranda L Jones, PHARMD
• Grace Elizabeth Joyner, MS LCAT LCPC-CC
• Patricia Edith Kaplan, LCSW, CADC
• Maggie Q. Karoff, LMSW-CC
• Steven Murray Keene, NP, RN
• Patricia V Kelleher, MA,LCPC

• Family Nurse Practitioner in Belfast, ME
• Providers in Belfast, ME by specialty
• Family Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.