Kimberly Dawn Jordan, NP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

1041 Issued in SC

Practice address

303 Dacusville Hwy
Easley, SC 29640-1510

Phone

(864) 855-0853

Fax

(864) 855-5882

NPI assigned

Jun 14, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Samaritan Health Clinic of Pickens County

  • Clinic/Center
  • Easley, SC
  • NPI 1407257280
  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720282494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 STRATFORD DR",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296423563",
            "telephone_number": "864-306-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 DACUSVILLE HWY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296401510",
            "telephone_number": "864-855-0853",
            "fax_number": "864-855-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "SC",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Dean Jones, D.C.
• Jennifer Joanne Jones
• Michael Anthony Jones, FNP-C
• Ruth Jones, LPN
• Katalin Jordan, PTA
• Samer Atallah Joudeh III, DMD PA
• David A Junker, M.D.
• Roy Christopher Junkins, L/ATC, MS, PTA
• Hope Christina Justus, FNP
• Sondra Lynn Kaiser, APRN

• Obstetrics & Gynecology Nurse Practitioner in Easley, SC
• Providers in Easley, SC by specialty
• Obstetrics & Gynecology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.