Individual provider Active NPI

Kristin Jordan

  • Psychiatric/Mental Health Nurse Practitioner
  • Laconia, NH
National Provider Identifier
1578422804
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
070506-23 Issued in NH
Practice address
40 Beacon St E
Laconia, NH 03246-3437
Phone
(600) 352-4110
NPI assigned
Jan 21, 2026
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Lakes Region Mental Health Center, Inc 21 clinicians

Practice addresses (Care Compare)

40 Beacon St E
Laconia, NH 03246-3437
Phone (603) 524-1100

Hospital & facility affiliations

  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20260317000895 NH Practitioner - Nurse Practitioner 7618450743 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070506-23NHMDPsychiatric/Mental Health Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 070506-23 NH Primary

Addresses

NPPES NPI Registry

Primary practice location

40 Beacon St E
Laconia, NH 03246-3437

Mailing address

103 Blueberry Hill LN
Gilford, NH 03249-6610
Phone (207) 415-7971

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 27, 2026.

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1578422804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BLUEBERRY HILL LN",
            "city": "GILFORD",
            "state": "NH",
            "postal_code": "032496610",
            "telephone_number": "207-415-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEACON ST E",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032463437",
            "telephone_number": "600-352-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NH",
            "license": "070506-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

Verify at the official NPI Registry.