Individual provider Active NPI

Emily D Jordan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1619832003
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5023655 Issued in NC
Practice address
1001 Navaho Dr Ste 204
Raleigh, NC 27609-7366
Phone
(919) 917-7273
Fax
(984) 333-9160
NPI assigned
Dec 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5023655 NC Primary

Addresses

Primary practice location

1001 Navaho Dr Ste 204
Raleigh, NC 27609-7366

Mailing address

1001 Navaho Dr Ste 204
Raleigh, NC 27609-7366
Phone (919) 917-7273

Other practice location 1

6104 Fayetteville Rd Ste 101
Durham, NC 27713-6283
Phone (919) 908-6446

Other practice location 2

530 New Waverly Pl Ste 314
Cary, NC 27518-7414
Phone (919) 854-0021

Other practice location 3

1700 Kildaire Farm Rd
Cary, NC 27511-6570
Phone (919) 341-6010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20260522001703 NC Practitioner - Nurse Practitioner 7214407915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MD Psychiatry and Emotional HealthGroup PAC ID 6608296744, 15 clinicians

Practice addresses (Care Compare)

1001 Navaho Dr
Suite 204
Raleigh, NC 27609-7366
Phone (919) 917-7273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5023655NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MD Psychiatry and Emotional Health CurrentSince Sep 1, 2020 Accepting new patients

Locations

1700 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 341-6010

530 New Waverly Pl
Ste 314
Cary, NC 27518
Phone (919) 642-4802

6104 Fayetteville Rd
Ste 101
Durham, NC 27713
Phone (919) 908-6444

1001 Navaho Dr
Ste 204
Raleigh, NC 27609
Phone (919) 854-0021

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.

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1619832003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NAVAHO DR STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097366",
            "telephone_number": "919-917-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NAVAHO DR STE 204",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097366",
            "telephone_number": "919-917-7273",
            "fax_number": "984-333-9160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6104 Fayetteville Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136283",
            "country_code": "US",
            "telephone_number": "919-908-6446",
            "fax_number": "984-333-9160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 New Waverly Pl Ste 314",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275187414",
            "country_code": "US",
            "telephone_number": "919-854-0021",
            "fax_number": "984-333-9160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Kildaire Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275116570",
            "country_code": "US",
            "telephone_number": "919-341-6010",
            "fax_number": "984-333-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "EMILY",
        "middle_name": "D",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-18",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5023655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.