Individual provider Active NPI

Kortni Jordan, APRN, FNP, NP, MSN

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1912579129
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1047643 Issued in TX
Practice address
1622 W Alabama St
Houston, TX 77006-4102
Phone
(888) 234-3482
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1047643 TX Primary

Addresses

Primary practice location

1622 W Alabama St
Houston, TX 77006-4102

Mailing address

1622 W Alabama St
Houston, TX 77006-4102
Phone (888) 234-3482

Other practice location 1

7333 North Fwy
Houston, TX 77076-1300
Phone (346) 320-4126

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240212003611 TX Practitioner - Nurse Practitioner 5799137725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

11619 Shadow Creek Pkwy
Suite 110
Pearland, TX 77584-7262
Phone (346) 646-3481

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • HCA Houston Healthcare Pearland Hospital, Pearland, TX, CCN 670106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1047643TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Villagemd of Southeast Texas, PA CurrentSince Dec 1, 2024 Accepting new patients
Village Family Practice, L.L.P CurrentSince Dec 1, 2024 Accepting new patients

Locations

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

302 Highway 3 S
League City, TX 77573
Phone (281) 332-6573

6122 Broadway St
#100
Pearland, TX 77581
Phone (346) 398-7252

11619 Shadow Creek Pkwy
#110
Pearland, TX 77584
Phone (346) 646-3481

15200 Southwest Fwy
Sugar Land, TX 77478
Phone (346) 646-3302

Interoperability endpoints

  • Direct secure messaging: kortni.jordan.1@13711.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1912579129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 W ALABAMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064102",
            "telephone_number": "888-234-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 W ALABAMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770064102",
            "telephone_number": "888-234-3482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7333 North Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770761300",
            "country_code": "US",
            "telephone_number": "346-320-4126",
            "fax_number": "281-888-9788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KORTNI",
        "credential": "APRN, FNP, NP, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.