Melissa Jordan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

68985 Issued in NC

Practice address

5106 Olde Forest Dr
Greensboro, NC 27406-8718

Phone

(919) 914-1287

NPI assigned

Aug 6, 2020

Last updated

Aug 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jordan HGH LLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
  • NPI 1396519955
  NPD Authorized official
• Jordan HGH LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Greensboro, NC
  • NPI 1962275511
  NPD Authorized official

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1548870215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5106 OLDE FOREST DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068718",
            "telephone_number": "919-914-1287",
            "fax_number": "336-690-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5106 OLDE FOREST DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068718",
            "telephone_number": "919-914-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "MELISSA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NC",
            "license": "68985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Young Jordan, M.D.
• Fatima Jordan, LPC, CRC, LCASA
• Jesse James Ray Jordan, PA-C
• Kaylin Jordan
• Megan Duffany Jordan, LCMHCS
• Peter Manning Jordan, M.D.
• Rachell Jordan
• Stephanie Gould Jordan, NP
• Jordon Enterprises, Inc.
• Damilola Oluwatosin Joseph, M.D.

• Licensed Practical Nurse in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.