Shaun Michelle Jordan, REGISTERED NURSE

Primary specialty

Inpatient Obstetric Registered NurseTaxonomy code 163WX0003X

License

RN417181 Issued in CA

Practice address

3633 Martin Luther King Jr Blvd Ste 3
Lynwood, CA 90262-3510

Phone

(310) 763-3075

Fax

(310) 763-3084

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clarishealth.shaunjordan@155064.advancedmd-direct.com

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.

• St. Johns Community Health

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1073653630
  Medicare reassignment NPD
• St. Johns Community Health

  • Community Health Clinic/Center
  • Los Angeles, CA
  • NPI 1073363768
  NPD
• St. Johns Community Health

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1598002628
  NPD
• St.Francis Medical Center

  • General Acute Care Hospital
  • Lynwood, CA
  • NPI 1487697215
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245453372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19437 TAJAUTA AVE",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907462748",
            "telephone_number": "310-638-1287",
            "fax_number": "310-763-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3633 MARTIN LUTHER KING JR BLVD STE 3",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902623510",
            "telephone_number": "310-763-3075",
            "fax_number": "310-763-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHAUN",
        "middle_name": "MICHELLE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "CA",
            "license": "RN417181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K Jones, MD
• Rashida Jones
• Reginald J Jones, MD
• Sharon Yvette Jones, M.D.
• Stanley L Jones, MD
• Jose N. Montano, M.D. a Professional Corporation
• Jasmine Joseph
• Juana E Valdez
• Catty Jumawan
• JWCH Institute Inc

• Inpatient Obstetric Registered Nurse in Lynwood, CA
• Providers in Lynwood, CA by specialty
• Inpatient Obstetric Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.