Jennifer M Jordan

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

12535 Edgewater Dr Apt 135
Lakewood, OH 44107-1635

Phone

(216) 258-3902

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1831803030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12535 EDGEWATER DR APT 135",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071635",
            "telephone_number": "216-258-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12535 EDGEWATER DR APT 135",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441071635",
            "telephone_number": "216-258-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Elaine Jones, B.S, A.A.S, L.M.T
• Latosha Jones
• Olivia Jones, LPCC
• Shelby Mae Jones, LPCC-S
• David Thomas Jonke, D.D.S.
• Joyce Taylor Jordan, LISW-S, LICDC, SAP
• Keith R. Jordan, D.C.
• Mario Jordan, APRN, PMHNP-BC
• Sandra Jorgensen, CNP
• Kathleen Jouriles

• Driver in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Driver in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.