Fareesa Nicole Jordan, O.P.A.

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

902 Issued in NU

Practice address

9180 Katy Fwy
Suite 202
Houston, TX 77055-7454

Phone

(713) 647-7700

Fax

(713) 647-7702

NPI assigned

Apr 10, 2012

Last updated

Apr 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pasadena Gastroenterology Associates, P.a.

  dba Digestive Health Center

  • Specialist
  • Pasadena, TX
  • NPI 1275619082
  NPD (past)

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1326304775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 KATY FWY",
            "address_2": "SUITE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557454",
            "telephone_number": "713-647-7700",
            "fax_number": "713-647-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 KATY FWY",
            "address_2": "SUITE 202",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770557454",
            "telephone_number": "713-647-7700",
            "fax_number": "713-647-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "FAREESA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "O.P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NU",
            "license": "902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla E Jordan-Martin, CRNA
• Andre Jordan, D.D.S.
• Cathy K Jordan, M.ED,LPC
• Erica E Jordan, CRNA
• Erica N Jordan
• Frances Jewell Jordan, MSW, LMSW
• Jasmine Lashay Jordan
• Joshua Jordan, PT, DPT
• Kortni Jordan, APRN, FNP, NP, MSN
• Krystal Nicole Jordan, LVN

• Surgical Technologist in Houston, TX
• Providers in Houston, TX by specialty
• Surgical Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.