Active NPI
Jordyn Nicole Gardner, CMSSW
- Case Manager/Care Coordinator
- Clarkston, MI
National Provider Identifier
1902632375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 6852093933
- Practice address
- 6770 Dixie Hwy Ste 200
Clarkston, MI 48346-5113 - Phone
- (248) 276-8000
- NPI assigned
- Sep 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 6852093933 | MI | Primary |
Addresses
Primary practice location
6770 Dixie Hwy Ste 200
Clarkston, MI 48346-5113
Mailing address
11726 Curwood Dr
Grand Blanc, MI 48439-1103
Phone (248) 633-4638
Other names 1
- Jordyn Nicole Morey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6852093933 | MI | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1902632375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11726 CURWOOD DR",
"city": "GRAND BLANC",
"state": "MI",
"postal_code": "484391103",
"telephone_number": "248-633-4638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6770 DIXIE HWY STE 200",
"city": "CLARKSTON",
"state": "MI",
"postal_code": "483465113",
"telephone_number": "248-276-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JORDYN",
"middle_name": "NICOLE",
"credential": "CMSSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-11",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "MI",
"license": "6852093933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JORDYN",
"last_name": "MOREY",
"middle_name": "NICOLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clarkston, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.