Keiasha Marie Jordan, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-168314 Issued in AL

Practice address

833 Saint Vincents Dr Ste 300
Birmingham, AL 35205-1612

Phone

(205) 933-4640

Fax

(205) 939-4519

NPI assigned

Aug 25, 2023

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

Enrolled in AL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southview Medical Group, PCGroup PAC ID 8729979794, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Vincent'S Birmingham Hospital, Birmingham, AL, CCN 010056

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southview Medical Group, PC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1801860333
  Medicare reassignment Care Compare group NPD
• Uab Southview LLC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1902733777
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Vincent'S Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1841298999
  Care Compare affiliation

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1427833771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051612",
            "telephone_number": "205-933-4640",
            "fax_number": "205-939-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SAINT VINCENTS DR STE 300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051612",
            "telephone_number": "205-933-4640",
            "fax_number": "205-939-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KEIASHA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-168314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline D Jordan, CO
• Jamesse S Jordan, LMSW
• Jeremy Dugger Jordan, CRNP, CPNP-AC
• Josh Jordan, PHARMD
• Katherine Cross Jordan, MS, RDN, LDN
• Melissa Rae Jordan, MD
• Scott Jordan, PT
• Joseph G. Hughes, MD LLC
• Joseph Wu, M.D., LLC
• David B Joseph, MD

• Family Nurse Practitioner in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.