Jordan Lowell Traller, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95024206 Issued in CA

Practice address

3737 Marconi Ave
Sacramento, CA 95821-5303

Phone

(916) 480-1801

NPI assigned

Aug 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1316665664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MARCONI AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215303",
            "telephone_number": "916-480-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARCONI AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958215303",
            "telephone_number": "916-480-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRALLER",
        "first_name": "JORDAN",
        "middle_name": "LOWELL",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95029547",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jortraller@gmail.com",
            "affiliation": "N",
            "address_1": "10515 Fair Oaks Blvd Apt F",
            "city": "Fair Oaks",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956287269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kathryn A Tracy
• Kevin Abraham Tracy, MD
• Paul Traglio
• Melinda Trainer, RBT
• Training Toward Self Reliance Inc
• Tran Huyen Tran Pineda
• Linda H Tran Poit, PT, DPT
• Victoria Ada Tran Toft, MD
• Anh Tran-Le, MHA III
• Melody Tran-Reina, MD

• Psychiatric/Mental Health Nurse Practitioner in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.