Individual provider Active NPI

Jordan Wachel

  • Licensed Vocational Nurse
  • Franklin, TX
National Provider Identifier
1669097002
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
352377 Issued in TX
Practice address
705 S Owensville St
Franklin, TX 77856-5253
Phone
(979) 906-0543
NPI assigned
Jun 11, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
352377TXMDLicensed Vocational Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 352377 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

705 S Owensville St
Franklin, TX 77856-5253

Mailing address

705 S Owensville St
Franklin, TX 77856-5253
Phone (979) 906-0543

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 11, 2020.

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1669097002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 S OWENSVILLE ST",
            "city": "FRANKLIN",
            "state": "TX",
            "postal_code": "778565253",
            "telephone_number": "979-906-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S OWENSVILLE ST",
            "city": "FRANKLIN",
            "state": "TX",
            "postal_code": "778565253",
            "telephone_number": "979-906-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHEL",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "352377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.