Keshia Nichole Jordan, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA.14076-NP Issued in OH

Practice address

3515 Siaron Way
Hamilton, OH 45011-2684

Phone

(513) 278-8141

NPI assigned

Nov 17, 2012

Last updated

Mar 16, 2022By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

University of Cincinnati College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/sbhihelp/r4/

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.

• Team Jesus Most Hope LLC

  dba Most Hope Treatment Center

  • Nurse Practitioner
  • Hamilton, OH
  • NPI 1356091649
  Medicare reassignment NPD Authorized official
• Gateways Recovery Inc

  • Community/Behavioral Health Agency
  • Cincinnati, OH
  • NPI 1265453930
  Medicare reassignment NPD
• Samaritan Behavioral Health, Inc.

  • Clinic/Center
  • Dayton, OH
  • NPI 1205888641
  Medicare reassignment NPD
• Talbert House

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
  • NPI 1619900834
  Medicare reassignment NPD
• Boulder Care Provider Group PA

  dba Boulder Care

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1649838590

  OH

  Medicare reassignment NPD
• Team Jesus Most Hope LLC

  dba Most Hope Treatment Center

  • Nurse Practitioner
  • Hamilton, OH
  • NPI 1225747488
  NPD Authorized official
• Samaritan Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1235490939
  NPD
• Samaritan Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1629022330
  NPD

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

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1568706307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 SIARON WAY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112684",
            "telephone_number": "513-278-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 SIARON WAY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112684",
            "telephone_number": "513-278-8141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 South Edwin C Moses Blvd",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454173424",
            "country_code": "US",
            "telephone_number": "937-734-8333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 Eaton Ave",
            "address_2": "2 West",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450132767",
            "country_code": "US",
            "telephone_number": "513-867-2433",
            "fax_number": "513-867-2499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4760 Madison Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452271426",
            "country_code": "US",
            "telephone_number": "513-861-0035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KESHIA",
        "middle_name": "NICHOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-17",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.14076-NP",
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "APRN.CNP.14076",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084490",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ophelia Jones, LSW
• Ramsey Tyler Jones
• Tonya Renee Jones, LPN
• Jordan Jones
• Jim Jordan Jr.
• Joseph L Copas DMD Inc
• Joseph S Scheidler DO Inc
• Jill Suzanne Joseph, M.S. CCC-SLP
• Shane S Joseph
• Alexandra Jovanis

• Family Nurse Practitioner in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.