Amy Rose Jordan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

12727 McManus Blvd.
Suite G
Newport News, VA 23602

Phone

(757) 877-2300

Fax

(757) 264-6258

NPI assigned

Jan 17, 2020

Last updated

Jan 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Progressive ABA, Inc.

  • Behavior Analyst
  • Newport News, VA
  • NPI 1962834853
  NPD

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1821628918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 STANTON RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062927",
            "telephone_number": "757-842-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12727 MCMANUS BLVD.",
            "address_2": "SUITE G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23602",
            "telephone_number": "757-877-2300",
            "fax_number": "757-264-6258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "AMY",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shavon C Jones, MD
• Tekia Jones
• Tina Maria Jones, CSAC
• Veneice Jones, PHARND.
• Violet Victoria Jones
• Autumn Jordan, MD
• Cassell Amanda Jordan, MD
• Jasmine Anissa Kiama Jordan, NP
• La'Kisha Jordan, LPC
• Christopher Vincent Joseph

• Behavior Technician in Newport News, VA
• Providers in Newport News, VA by specialty
• Behavior Technician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.