Active NPI
Tameka P Jordan, DHSC, PHD, CHES
- Public Health & General Preventive Medicine Physician
- La Place, LA
National Provider Identifier
1447647581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 14932
- Practice address
- 1929 W Airline Hwy
La Place, LA 70068-3353 - Phone
- (225) 255-1217
- NPI assigned
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Specialist | 174400000X | |||
| Health Educator | 174H00000X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X | 14932 | LA | Primary |
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
1929 W Airline Hwy
La Place, LA 70068-3353
Mailing address
14444 Summerset Dr
Gonzales, LA 70737-7087
Phone (225) 255-1217
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14932 | LA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1447647581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14444 SUMMERSET DR",
"city": "GONZALES",
"state": "LA",
"postal_code": "707377087",
"telephone_number": "225-255-1217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1929 W AIRLINE HWY",
"city": "LA PLACE",
"state": "LA",
"postal_code": "700683353",
"telephone_number": "225-255-1217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "TAMEKA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DHSC, PHD, CHES",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-15",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "LA",
"license": "14932",
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Place, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.