Individual provider Active NPI

Dana Katherine Jordan, FNP

  • Family Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1508483041
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005175 Issued in FL
Practice address
625 E Twiggs St Ste 103
Tampa, FL 33602-3925
Phone
(813) 228-7696
Fax
(813) 228-0677
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11005175 FL Primary

Addresses

Primary practice location

625 E Twiggs St Ste 103
Tampa, FL 33602-3925

Mailing address

625 E Twiggs St Ste 103
Tampa, FL 33602-3925
Phone (813) 228-7696

Other practice location 1

20419 Carolina Cherry Ct
Tampa, FL 33647-3007
Phone (813) 505-8406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20230615001230 FL Practitioner - Nurse Practitioner 2769840289 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11005175FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Rehabilitation and Electrodiagnostics PA CurrentSince Aug 1, 2023 Accepting new patients
Columbia Anesthesia Services, LLC Past Accepting new patients

Locations

2914 N Boulevard
Tampa, FL 33602
Phone (813) 228-7696

625 E Twiggs St
Ste 103
Tampa, FL 33602
Phone (813) 228-7696

Interoperability endpoints

  • Direct secure messaging: djordan273820@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1508483041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E TWIGGS ST STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023925",
            "telephone_number": "813-228-7696",
            "fax_number": "813-228-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E TWIGGS ST STE 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023925",
            "telephone_number": "813-228-7696",
            "fax_number": "813-228-0677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20419 Carolina Cherry Ct",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336473007",
            "country_code": "US",
            "telephone_number": "813-505-8406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DANA",
        "middle_name": "KATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.