Laqueen Jordon

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

1532 Frienza Ave
Sacramento, CA 95815-2735

Phone

(916) 242-5339

NPI assigned

Feb 11, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

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": "1518307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518307200000",
    "number": "1861991390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 FRIENZA AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958152735",
            "telephone_number": "916-242-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 FRIENZA AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958152735",
            "telephone_number": "916-242-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDON",
        "first_name": "LAQUEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-11",
        "last_updated": "2018-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "TX",
            "license": "545-7353092",
            "primary": false
        },
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyann Jordan
• Tanya Jordan
• Theresa Ann Jordan, LPT41449
• Weldon H. Jordan Jr., MD
• Jordanmed Health, Inc.
• Frances Jorge
• Julie Ann Jorgensen, RN, MSN, FNP
• Jenna Jorgenson
• Lucy Nanette Jorjorian, FNP
• Kristi Dee Jorrin

• Nutritionist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2018; 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.