Individual provider Active NPI

Karen Sue Jordan, A.P.N.

  • Medical-Surgical Clinical Nurse Specialist
  • Carlsbad, TX
National Provider Identifier
1295842748
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Clinical Nurse SpecialistTaxonomy code 364SM0705X
License
595380 Issued in TX
Practice address
10950 US Hwy 87 North
Box 38
Carlsbad, TX 76934-0038
Phone
(325) 465-2880
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Clinical Nurse Specialist 364SM0705X 595380 TX Primary

Addresses

Primary practice location

10950 US Hwy 87 North
Box 38
Carlsbad, TX 76934-0038

Mailing address

1522 S Van Buren St
San Angelo, TX 76901-4358
Phone (325) 227-8842

Other names 1

  • Ms. Karen Sue Jordan Professional name

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)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
595380TXMDMedical-Surgical Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295842748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 S VAN BUREN ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769014358",
            "telephone_number": "325-227-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10950 US HWY 87 NORTH",
            "address_2": "BOX 38",
            "city": "CARLSBAD",
            "state": "TX",
            "postal_code": "769340038",
            "telephone_number": "325-465-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "TX",
            "license": "595380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "JORDAN",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "A.P.N",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Carlsbad, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.