Individual provider Active NPI

Tiffany Lynn Jordan, CNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1710290317
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0028325 Issued in OH
Practice address
3000 Arlington Ave
Toledo, OH 43614-2598
Phone
(419) 383-6656
Fax
(419) 383-3167
NPI assigned
Jul 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 APRN.CNP.0028325 OH Primary

Addresses

Primary practice location

3000 Arlington Ave
Toledo, OH 43614-2598

Mailing address

329 N West St
Lima, OH 45801-4331
Phone (419) 221-3072

Other identifiers 1

IdentifierTypeStateIssuer
3074097MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210204003088 OH Practitioner - Nurse Practitioner 9537573431 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028325OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince Mar 7, 2023 Accepting new patients
Health Partners of Western Ohio CurrentSince Mar 7, 2023 Accepting new patients
Curana Health of Ohio CurrentSince Nov 2, 2022 Accepting new patients
The Little Clinic of Ohio LLC Family CurrentSince Feb 1, 2021 Accepting new patients
Signify Health, LLC CurrentSince Oct 27, 2022 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients
Ohio Living Palliative Care Greater Toledo LLC CurrentSince Apr 4, 2022 Accepting new patients
Health Partners of Western Ohio Past Accepting new patients
Health Partners of Western Ohio Past Accepting new patients

Locations

3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276

199 Graceland Blvd
Columbus, OH 43214
Phone (614) 410-2814

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

111 W Espy St
Kenton, OH 43326
Phone (419) 679-5994

441 E 8th St
Lima, OH 45804
Phone (419) 221-3723

329 N West St
Lima, OH 45801
Phone (419) 229-6007

1550 N Main St
Lima, OH 45801
Phone (419) 516-0327

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

904 Issac Sts
Oregon, OH 43616
Phone (419) 691-2483

1344 W Seneca Ave
Tiffin, OH 44883
Phone (419) 447-6900

222 McTigue Dr
Toledo, OH 43615
Phone (419) 442-7702

2244 Collingwood Blvd
Toledo, OH 43620
Phone (567) 318-3891

2200 Arlington Ave
Toledo, OH 43614
Phone (419) 671-2000

4925 Jackman Rd
Toledo, OH 43613
Phone (419) 473-1715

2010 Tremainsville Rd
Toledo, OH 43613
Phone (419) 671-3167

2400 Collingwood Blvd
Toledo, OH 43620
Phone (419) 442-7701

301 Morrison Dr
Toledo, OH 43605
Phone (419) 671-7000

701 E Central Ave
Toledo, OH 43608
Phone (419) 671-6000

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1710290317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014331",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142598",
            "telephone_number": "419-383-6656",
            "fax_number": "419-383-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0028325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3074097",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.