Katrina Tolliver Jordan, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN084084 Issued in GA

Practice address

6600 Peachtree Dunwoody Road
Bulding 400 Suite 125
Atlanta, GA 30328

Phone

(866) 587-9922

NPI assigned

Oct 12, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Katrina Nakia Tolliver Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1669757449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 ANDERSON MILL RD APT 1107",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "30106",
            "telephone_number": "770-693-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 PEACHTREE DUNWOODY ROAD",
            "address_2": "BULDING 400 SUITE 125",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30328",
            "telephone_number": "866-587-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KATRINA",
        "middle_name": "TOLLIVER",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN084084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "TOLLIVER",
            "middle_name": "NAKIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diamond Brianna Jordan
• Dorothy Henry Jordan, R.N., PMHCNS-BC
• Elizabeth Highsmith Jordan, ACNP
• Heather Jordan
• Jesse Jordan
• Kayla Jordan, CRC, NCC
• Kimberly Elizabeth Jordan, MD
• Lakeesha Jordan
• Malichai Emmanuel Jordan
• Mary Catherine Jordan, MN, CPNP

• Licensed Practical Nurse in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.