Individual provider Active NPI

Anessa Jordan

  • Case Manager/Care Coordinator
  • Washington, DC
National Provider Identifier
1215738406
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
4516747 Issued in DC
Practice address
2514 Pomeroy Rd SE Apt 101
Washington, DC 20020-6514
Phone
(240) 990-9848
NPI assigned
Mar 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 4516747 DC Primary

Addresses

Primary practice location

2514 Pomeroy Rd SE Apt 101
Washington, DC 20020-6514

Mailing address

2514 Pomeroy Rd SE Apt 101
Washington, DC 20020-6514
Phone (240) 990-9848

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

State licenses

LicenseStateTypeSpecialty
4516747DCMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1742601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1215738406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 POMEROY RD SE APT 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206514",
            "telephone_number": "240-990-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 POMEROY RD SE APT 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200206514",
            "telephone_number": "240-990-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ANESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-22",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "DC",
            "license": "4516747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.