Stephanie Jordan, OMD, PSYD.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

1014 Issued in NV

Practice address

7390 W Sahara Ave
Suite 235
Las Vegas, NV 89117-2763

Phone

(702) 382-8484

Fax

(702) 382-3755

NPI assigned

Feb 16, 2007

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1598809576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7390 W SAHARA AVE",
            "address_2": "SUITE 235",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172763",
            "telephone_number": "702-382-8484",
            "fax_number": "702-382-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7390 W SAHARA AVE",
            "address_2": "SUITE 235",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172763",
            "telephone_number": "702-382-8484",
            "fax_number": "702-382-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "OMD, PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "3356",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NV",
            "license": "1014",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "1164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnell Jordan
• Shimirah M Jordan
• Simone Jordan
• Sophia Marney Jordan
• Sparkle Jordan
• Toi Jordan
• Triaunna Jordan
• Valerie Jordan
• Vanessa Jordan
• Vernon Odell Jordan, CHW 1

• Acupuncturist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Acupuncturist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.