Active NPI
Katherine Cross Jordan, MS, RDN, LDN
- Registered Dietitian
- Birmingham, AL
National Provider Identifier
1730650326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86049201
- Practice address
- 2807 Greystone Commercial Blvd Ste 36
Birmingham, AL 35242-9601 - Phone
- (205) 478-2176
- NPI assigned
- Dec 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86049201 | AL | Primary |
Addresses
Primary practice location
2807 Greystone Commercial Blvd Ste 36
Birmingham, AL 35242-9601
Mailing address
2807 Greystone Commercial Blvd Ste 36
Birmingham, AL 35242-9601
Phone (205) 478-2176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86049201 | AL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544227200000",
"number": "1730650326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 GREYSTONE COMMERCIAL BLVD STE 36",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352429601",
"telephone_number": "205-478-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 GREYSTONE COMMERCIAL BLVD STE 36",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352429601",
"telephone_number": "205-478-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "KATHERINE",
"middle_name": "CROSS",
"credential": "MS, RDN, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-08",
"last_updated": "2018-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AL",
"license": "86049201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.