Betty Jo Jordan, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

509147 Issued in TX

Practice address

601 S Winfree St
Dayton, TX 77535-2945

Phone

(936) 257-1102

Fax

(936) 257-1109

NPI assigned

Dec 1, 2006

Last updated

Dec 31, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Dayton Regional Medical Center Hospital, Liberty, TX, CCN 451375
• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: bjordan@1955.securemail.prognocis.com

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.

• Marshall Family Practice Clinic, PLLC

  • Family Nurse Practitioner
  • Dayton, TX
  • NPI 1902073208
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Liberty County Hospital District No 1

  dba Liberty Dayton Regional Medical Center

  • Critical Access Hospital
  • Liberty, TX
  • NPI 1154324952
  Care Compare affiliation
• Memorial Hermann Health System

  dba Memorial Hermann Northeast

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1902974728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S WINFREE ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352945",
            "telephone_number": "936-257-1102",
            "fax_number": "936-257-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S WINFREE ST",
            "city": "DAYTON",
            "state": "TX",
            "postal_code": "775352945",
            "telephone_number": "936-257-1102",
            "fax_number": "936-257-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "BETTY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "509147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170714301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170714302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Howard, APN
• Lasondra Rashell Howard, MSN, APRN, FNP-C
• Noman Hussain, DMD
• Candice Michelle James, LCDC, MSW, MCJ
• Rhonda P Johnson
• Laura Ann Jordan, LPC
• K. Robert Seaberg DDS, Inc.
• Gabrielle Lara
• Nancy Lynn Leger-Davie, LCDC
• Leslie Lenio

• Family Nurse Practitioner in Dayton, TX
• Providers in Dayton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.