Jordan Family Clinic Inc

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

JORDAN FAMILY CLINIC INC

Practice address

6801 McCart Ave, Ste 109
Fort Worth, TX 76133-6135

Phone

(817) 612-1551

Fax

(817) 720-9989

NPI assigned

Feb 12, 2018

Organization subpart

No

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

Authorized official

Name

Rhoda Stevens, APRN, FNP-BCNPI 1033467477

Title

Family Nurse Practitioner

Phone

(817) 612-1551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rhoda Gwan Stevens, FNP-BC

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1033467477
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696636800000",
    "number": "1518467976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 S HULEN ST STE 360",
            "address_2": "PMB 198",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCCART AVE, STE 109",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761336135",
            "telephone_number": "817-612-1551",
            "fax_number": "817-720-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN FAMILY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "RHODA",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "817-612-1551",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Jones
• Zelda Jones, LMSW
• Miranda Lynn Joneson, AU.D.
• Anil Kumar Jonnalagadda, M.D
• Erica Rusco Joosten, LPC-A
• Abigail L Jordan, PA-C
• Brooke Leann Jordan, D.O.
• Dakeya V Jordan, DO
• David Curtis Jordan, M.D.
• Jaime T Jordan, NP

• Primary Care Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Primary Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.