Shaletra Jordan

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP127172 Issued in TX

Practice address

412 Overland St
Carthage, TX 75633-1820

Phone

(903) 742-0197

NPI assigned

Jan 20, 2015

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

Other names 1

• Shaletra Hodge Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vascular Anesthesia Associates PLLC 17 clinicians

Southern Group Anesthesia PLLC 19 clinicians

Texans Anesthesia Associates PLLC 197 clinicians

Lonestar Anesthesia Solutions PLLC 46 clinicians

Northwest Anesthesiology and Pain Services, P.a. 95 clinicians

Emergenchealth PLLC 1,037 clinicians

Hunter and Hunter Anesthesia Consultants LLC 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Luke'S Patients Medical Center Hospital, Pasadena, TX, CCN 670031

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 48)

Interoperability endpoints

• Direct secure messaging: sjordan452172@direct.stlukeshealth.org
• FHIR API: https://api.platform.athenahealth.com/27020/brand/1/csg/1/fhir/r4

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.

• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment Care Compare group NPD
• Hunter & Hunter Anesthesia Consultants LLC

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1003238395

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment Care Compare group NPD
• Lonestar Anesthesia Solutions PLLC

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1992151161

  TX

  Medicare reassignment Care Compare group NPD
• Northwest Anesthesiology & Pain Services, P.a.

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1629027511

  TX

  Medicare reassignment Care Compare group NPD
• Southern Group Anesthesia PLLC

  • Anesthesiology Physician
  • Katy, TX
  • NPI 1720628936

  TX

  Medicare reassignment Care Compare group NPD
• Texans Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Webster, TX
  • NPI 1275733982

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment Care Compare group NPD
• Vascular Anesthesia Associates PLLC

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1346706173

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment Care Compare group NPD
• Digestive & Liver Center, PA

  • Specialist
  • Lake Jackson, TX
  • NPI 1851385827

  TX

  Medicare reassignment NPD
• Eagle Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1891151478

  TX

  Medicare reassignment NPD
• Modern Anesthesia Associates

  • Certified Registered Nurse Anesthetist
  • Houston, TX
  • NPI 1679345045

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Rukan Daccak, MD, PA

  • Specialist
  • Pasadena, TX
  • NPI 1104951979

  TX

  Medicare reassignment NPD
• Teleios Anesthesia PLLC

  • Anesthesiology Physician
  • Lake Jackson, TX
  • NPI 1871985929

  TX

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• PMC Hospital, LLC

  • General Acute Care Hospital
  • Pasadena, TX
  • NPI 1407990088

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1699164285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 OVERLAND ST",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756331820",
            "telephone_number": "903-742-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 OVERLAND ST",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756331820",
            "telephone_number": "903-742-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHALETRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP127172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHALETRA",
            "last_name": "HODGE",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Parker Jones, MSN, APRN PMHNP-BC
• Paula Jones, FNP-C
• Shernia Jones, LVN
• Tom M Jones, DDS
• Amy Danielle Jordan, RN
• James Keith Keeling, M.D.
• Ken Turner Pharmacy Inc
• Stacey Nicole Larkin, RDH, OMT
• Ashley G. Lawrence, M.S., LPC-S
• Cadie Nichole Lawrence

• All providers in Carthage, TX
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.