Individual provider Active NPI

Jordan Stratton Cruz, FNP-C

  • Family Nurse Practitioner
  • Mandeville, LA
National Provider Identifier
1700235249
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08807 Issued in LA
Practice address
1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone
(985) 327-5905
Fax
(985) 200-0840
NPI assigned
Jun 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08807 LA Primary

Addresses

Primary practice location

1420 N Causeway Blvd
Mandeville, LA 70471-3104

Mailing address

1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone (985) 327-5905

Other practice location 1

420 Avenue F
Bogalusa, LA 70427-3634
Phone (985) 730-6970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160628002239 LA Practitioner - Nurse Practitioner 4587955182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1420 N Causeway Blvd
Mandeville, LA 70471-3104
Phone (985) 327-5905

Hospital & facility affiliations

  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08807LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Louisiana ENT, Facial Plastic & Hair Restoration, Apmc CurrentSince Jun 6, 2016 Accepting new patients
Slent Investments, LLC Current Accepting new patients
Premier After Hours Past Accepting new patients
Century Oak Anesthesia, LLC PastSince Jun 6, 2016 Accepting new patients

Locations

71205 Highway 21
Covington, LA 70433
Phone (985) 327-5905

15706 Professional Plz
Hammond, LA 70403
Phone (985) 542-2521

16038 Doctors Blvd
Hammond, LA 70403
Phone (985) 327-5905

1420 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 273-5795

1258 Brownswitch Rd
Ste A
Slidell, LA 70461
Phone (985) 327-5905

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1700235249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713104",
            "telephone_number": "985-327-5905",
            "fax_number": "985-200-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704713104",
            "telephone_number": "985-327-5905",
            "fax_number": "985-200-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Avenue F",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273634",
            "country_code": "US",
            "telephone_number": "985-730-6970",
            "fax_number": "985-730-6363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JORDAN",
        "middle_name": "STRATTON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-06",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.