Patricia Ann Jordan, L.P.N

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP036459 Issued in AZ

Practice address

2322 E Roeser Rd
Phoenix, AZ 85040-3405

Phone

(480) 216-2199

NPI assigned

Jan 10, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Ms. Patricia Jordan Weathington Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1831248384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2322 E ROESER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850403405",
            "telephone_number": "480-216-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2322 E ROESER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850403405",
            "telephone_number": "480-216-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L.P.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN 176064",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP036459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RVN000620",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EPS010880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WEATHINGTON",
            "middle_name": "JORDAN",
            "prefix": "MS.",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John S Jordan, MD
• Justin Jordan, MD
• Lauren Elizabeth Jordan, M.D.
• Mariea Jordan, LPN
• Melissa Jordan, LPN
• Tamera B Jordan, MD
• Laura J Jordon, SLPA
• Ivette Jorge, D.M.D, M.P.H
• Jillian Ruth Jorgensen-Wolf
• Brian K Jorgensen, MD

• Licensed Practical Nurse in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Licensed Practical Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.