Active NPI
Jorden Mory Venturina, RN, BSN
- Rehabilitation Registered Nurse
- Desoto, TX
National Provider Identifier
1497511091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Registered Nurse
- License
- 1127162
- Practice address
- 1508 Wentwood Dr
Desoto, TX 75115-1278 - Phone
- (176) 069-1967
- NPI assigned
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Registered Nurse | 163WR0400X | 1127162 | TX | Primary |
Addresses
Primary practice location
1508 Wentwood Dr
Desoto, TX 75115-1278
Mailing address
1508 Wentwood Dr
Desoto, TX 75115-1278
Phone (760) 691-9678
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
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1127162 | TX | MD | Rehabilitation Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1497511091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 WENTWOOD DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751151278",
"telephone_number": "760-691-9678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 WENTWOOD DR",
"city": "DESOTO",
"state": "TX",
"postal_code": "751151278",
"telephone_number": "176-069-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTURINA",
"first_name": "JORDEN",
"middle_name": "MORY",
"credential": "RN, BSN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-22",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Rehabilitation",
"state": "TX",
"license": "1127162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Desoto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.