Tabu Naureen Jordan

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

27059439A Issued in IN

Practice address

8060 Knue Rd Ste 110
Indianapolis, IN 46250-1938

Phone

(317) 842-7435

NPI assigned

Nov 20, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• General Healthcare Resources

  • General Acute Care Hospital
  • Indianapolis, IN
  • NPI 1124239132
  NPD (past)

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1427239227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 KNUE RD STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 KNUE RD STE 110",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501938",
            "telephone_number": "317-842-7435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TABU",
        "middle_name": "NAUREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IN",
            "license": "27059439A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Marie Jordan
• Patricia L. Jordan, LCSW
• Shakeema Jordan
• Stephen James Jordan, M.D.
• Steven Howard Jordan Jr., RBT
• Tiffany Jorden
• Kalyn Jorgensen, LMHC
• Payton Jorgenson
• Jorjor Homecare LLC
• Lauren Jorman Totten, RBT

• Licensed Practical Nurse in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Licensed Practical Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.