Andrea Kay Jordan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041484853 Issued in IL

Practice address

2620 Perkins Creek Dr
Paducah, KY 42001-7494

Phone

(270) 444-8465

NPI assigned

Dec 1, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1740990688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W MAIN ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591188",
            "telephone_number": "618-997-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 PERKINS CREEK DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017494",
            "telephone_number": "270-444-8465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "ANDREA",
        "middle_name": "KAY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041484853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "andrea.jordan3@va.gov",
            "affiliation": "N",
            "address_1": "2620 Perkins Creek Dr",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420017494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammie Jones, RN
• Tanya Arlene Jones, MS IECE
• Timothy Ray Jones
• Treyvon Demell Jones
• Weston Gerard Jones, PT
• Beth N Jordan, M.ED.; LPCC
• Journeypure Paducah
• Joshua Craig Joyce, M.D.
• Julie Kraus Hideg PSYD and Associates PLLC
• Ashley Ann Kahler, MS, BCBA

• Registered Nurse in Paducah, KY
• Providers in Paducah, KY by specialty
• Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.