Jordan Dowling

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

321076 Issued in NY

Practice address

1355 Olean Portville Rd
Olean, NY 14760-9416

Phone

(716) 373-0057

NPI assigned

May 26, 2022

Last updated

May 26, 2022By the provider in NPPES

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

Other identifiers 2

Other names 1

• Jordan Selbert Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Casa-Trinity, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Geneseo, NY
  • NPI 1023054376
  NPD (past)

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1861130023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 EVANS AVE",
            "city": "BOLIVAR",
            "state": "NY",
            "postal_code": "147159649",
            "telephone_number": "716-698-9043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 OLEAN PORTVILLE RD",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147609416",
            "telephone_number": "716-373-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWLING",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "321076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16-1039939",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER INSURANCE",
            "identifier": "16-1039939",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdowling@casa-trinity.org",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "address_1": "1355 Olean Portville Rd",
            "city": "Olean",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147609416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "SELBERT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Leo Domboski, D.M.D.
• Jessica A Dossey, FNP
• Susan E. Dougherty, NP-CNM
• Rachel Amanda Doutt, OTR/L
• Elayna Rose Dowd, NP
• Alexis Drake
• Sean Patrick Drennan, PHARMD
• Matthew Michael Droney, PT, DPT, CSCS
• Michael Joseph Droney, MPT MS MTC
• Sheryl Michelle Droney, MPT MTC

• Licensed Practical Nurse in Olean, NY
• Providers in Olean, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.