Kayla Jorden, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

894525 Issued in NY

Practice address

3186 Seneca Tpke
Canastota, NY 13032-4634

Phone

(315) 920-9074

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By 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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1821874694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3186 SENECA TPKE",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130324634",
            "telephone_number": "315-920-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3186 SENECA TPKE",
            "city": "CANASTOTA",
            "state": "NY",
            "postal_code": "130324634",
            "telephone_number": "315-920-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDEN",
        "first_name": "KAYLA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "894525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Leo Gillette
• Kelly A Gilmore, LPN
• Greater Lenox Ambulance Service Inc
• Ashley Marie Hatch
• Patrick Earl Howlett, RPH
• Juan C Kassab DMD and Dorothy Kassab DDS PLLC (Smile Solutions)
• Dorothy Kassab, D.D.S.
• Juan Carlos Kassab, D.M.D
• Diane C Keba
• Jocelyne A King, NP-C

• Administrator Registered Nurse in Canastota, NY
• Providers in Canastota, NY by specialty
• Administrator Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.