Individual provider Active NPI

Kristin Danielle Jordan, APRN

  • Gerontology Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1225622384
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-130607 Issued in AL
Practice address
6801 Airport Blvd
Mobile, AL 36608-3709
Phone
(251) 751-8668
NPI assigned
Mar 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-130607 AL Primary
Gerontology Registered Nurse 163WG0600X 1-130607 AL
Gerontology Nurse Practitioner 363LG0600X CNP251503 ME
Gerontology Nurse Practitioner 363LG0600X APRN11012090 FL
Gerontology Nurse Practitioner 363LG0600X 905087 MS
Gerontology Nurse Practitioner 363LG0600X 116102-23 NH

Addresses

Primary practice location

6801 Airport Blvd
Mobile, AL 36608-3709

Mailing address

34820 Brandon Lake Rd
Bay Minette, AL 36507-8069
Phone (251) 751-8668

Other practice location 1

5113 N Davis Hwy Ste 3
Pensacola, FL 32503-2035
Phone (251) 533-3509

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Danielle.jordan@choosecovenant.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS, AL, ME, CT, NH, VT7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20210422002248 FL Practitioner - Nurse Practitioner 3870901291 Reassigns benefits to 4 organizations
I20220216000937 MS Practitioner - Nurse Practitioner 3870901291 Reassigns benefits to 6 organizations
I20221102000021 AL Practitioner - Nurse Practitioner 3870901291 Reassigns benefits to 5 organizations
I20251103000231 ME Practitioner - Nurse Practitioner 3870901291 Reassigns benefits to 3 organizations
I20260529002108 CT Practitioner - Nurse Practitioner 3870901291 Reassigns benefits to 1 organization
I20260529002679 NH Practitioner - Nurse Practitioner 3870901291 Reassigns benefits to 2 organizations
I20260529003057 VT Practitioner - Nurse Practitioner 3870901291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pensacola Hospitalist Physicians LLCGroup PAC ID 5395159818, 65 clinicians
York HospitalGroup PAC ID 6406766781, 202 clinicians
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

Practice addresses (Care Compare)

123 Baptist Way
Pensacola, FL 32503-2254
Phone (850) 469-2313

15 Hospital Dr
York, ME 03909-1011
Phone (207) 363-4321

1507 S Tuttle Ave
Sarasota, FL 34239-2608
Phone (212) 734-6621

20 Maitland St
Concord, NH 03301-3534
Phone (212) 734-6621

Hospital & facility affiliations

  • York Hospital Hospital, York, ME, CCN 200020
  • Monadnock Community Hospital Hospital, Peterborough, NH, CCN 301309
  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-130607ALMDGerontology Nurse Practitioner
APRN11012090FLMDGerontology Nurse Practitioner
CNP251503MEMDGerontology Nurse Practitioner
905087MSMDGerontology Nurse Practitioner
116102-23NHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority CurrentSince Jan 23, 2023 Accepting new patients
Wiggins Primary Care CurrentSince Feb 1, 2022 Accepting new patients
Pensacola Hospitalist Physicians, LLC CurrentSince Jan 1, 2023 Accepting new patients
Imc-Hospitalists LLC CurrentSince Oct 17, 2022 Accepting new patients
George Regional ER Physicians CurrentSince Feb 1, 2022 Accepting new patients
Inpatient Physician Services CurrentSince Feb 1, 2022 Accepting new patients
York Hospital CurrentSince Nov 1, 2025 Accepting new patients
Greene County Family Medical Clinic CurrentSince Feb 1, 2022 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Community Medical Center CurrentSince Feb 1, 2022 Accepting new patients
Pensacola Hospitalist Physicians, LLC CurrentSince Jan 1, 2023 Accepting new patients
George Regional Radiology PastSince Feb 1, 2022 Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

15 Hospital Dr
York, ME 03909
Phone (207) 351-2478

1017 Jackson Ave
Leakesville, MS 39451
Phone (601) 394-2820

92 Ratliff St
#A
Lucedale, MS 39452
Phone (601) 947-4411

859 Winter St
Lucedale, MS 39452
Phone (601) 766-4286

975 Hall St
Wiggins, MS 39577
Phone (601) 528-9119

Interoperability endpoints

  • Direct secure messaging: danielle.jordan@choosecovenant.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1225622384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34820 BRANDON LAKE RD",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365078069",
            "telephone_number": "251-751-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083709",
            "telephone_number": "251-751-8668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5113 N Davis Hwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032035",
            "country_code": "US",
            "telephone_number": "251-533-3509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KRISTIN",
        "middle_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-130607",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "AL",
            "license": "1-130607",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ME",
            "license": "CNP251503",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11012090",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "905087",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NH",
            "license": "116102-23",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Danielle.jordan@choosecovenant.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encrypted",
            "address_1": "6801 Airport Blvd",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366083709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.