Jordan Devera

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Aurora University 347 S Gladstone Ave
PMB 729
Aurora, IL 60506

Phone

(224) 688-5689

NPI assigned

Feb 6, 2019

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1639634322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AURORA UNIVERSITY 347 S GLADSTONE AVE",
            "address_2": "PMB 729",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AURORA UNIVERSITY 347 S GLADSTONE AVE",
            "address_2": "PMB 729",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "60506",
            "telephone_number": "224-688-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERA",
        "first_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Derks, PT
• Charles L Derus, MD
• Manisha V Desai, DMD
• Parin Desai
• Audrey Desbles
• F. Frederick Devett, LCSW
• Rosalie P Deyoung, MA, LCPC
• Shiv Dhawan
• Mira Dhutia, D.C.
• Montaha Diab

• Student in an Organized Health Care Education/Training Program in Aurora, IL
• Providers in Aurora, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.