Sha'Vonna M Jordan, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

605862-1 Issued in NY

Practice address

274 Millicent Ave
Buffalo, NY 14215-2985

Phone

(171) 699-0608

NPI assigned

Jul 25, 2012

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": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1861748097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 24TH ST",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031844",
            "telephone_number": "716-990-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 MILLICENT AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142152985",
            "telephone_number": "171-699-0608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "458 24th St",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143031844",
            "country_code": "US",
            "telephone_number": "716-990-6084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SHA'VONNA",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "605862-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacquelyn B Jordan, MD
• Jeffrey Michael Jordan, M.D., PH.D.
• Kali Ann Jordan, LCSW
• Nicole Jordan, LMSW
• Scott Jordan, LCSW, CASAC
• Thomas William Jordan, D.O.
• Brittany Nichole Jordon
• Joseph Andrew Hyde Joseph a Hyde DDS
• Joseph W Battin Sr
• Carole Ann Joseph, OTR/L

• Registered Nurse in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.