Tykeisha Renee Jordan, CIM

Primary specialty

Lay MidwifeTaxonomy code 175M00000X

Practice address

13702 Coursey Blvd Ste 5a
Baton Rouge, LA 70817-1370

Phone

(225) 678-0492

NPI assigned

Jul 18, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1508758996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13702 COURSEY BLVD STE 5A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13702 COURSEY BLVD STE 5A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708171370",
            "telephone_number": "225-678-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TYKEISHA",
        "middle_name": "RENEE",
        "credential": "CIM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Midwife, Lay",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynne Jordan, L.C.S.W.
• Marla Marie Jordan
• Melissa Jordan
• Renwick Lee Jordan Sr.
• Tiffany Carr Jordan, APRN, PMHNP-BC
• Wyona Jordan
• Miranda E.K. Jorgenson, D.C.
• Todd A Jorgenson, D.C.
• Peter Jory
• Cherie Renee Josefy, LPN

• Lay Midwife in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Lay Midwife in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.