Chevelle R Jordan, REGISTERED NURSE

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN9402527 Issued in FL

Practice address

239 Cascade Bend Dr
Ruskin, FL 33570-6396

Phone

(866) 757-5858

Fax

(866) 757-5858

NPI assigned

Apr 17, 2020

Last updated

Jan 26, 2022By 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 13

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Coastal Care Residence LLC

  • Developmentally Disabled Services Day Training Agency
  • Apollo Beach, FL
  • NPI 1336927870
  NPD Authorized official
• Coastal Senior Living Facility LLC

  dba Coastal Senior Living

  • Assisted Living Facility
  • Apollo Beach, FL
  • NPI 1912762147

  Respite Care

  NPD Authorized official
• Our Hearts Care Management

  dba Our Hearts Home Care

  • Case Management Agency
  • Ruskin, FL
  • NPI 1669092979
  NPD Authorized official
• Our Hearts Home Care & Staffing LLC

  dba Our Hearts Home Care

  • In Home Supportive Care Agency
  • Ruskin, FL
  • NPI 1356096119
  Authorized official Same address or phone
• Our Hearts Home Care & Staffing LLC

  dba Our Hearts Home Care

  • Developmental Disabilities Clinic/Center
  • Ruskin, FL
  • NPI 1366090946

  Home Health

  NPD (past) Authorized official
• Our Hearts Home Care & Staffing LLC

  dba Our Hearts Home Care

  • Developmental Disabilities Clinic/Center
  • St Petersburg, FL
  • NPI 1700525631
  Authorized official Same address or phone

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1932729241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 APOLLO BEACH BLVD # 182",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722251",
            "telephone_number": "866-757-5858",
            "fax_number": "866-757-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CASCADE BEND DR",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335706396",
            "telephone_number": "866-757-5858",
            "fax_number": "866-757-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CHEVELLE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9402527",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "FL",
            "license": "RN9402527",
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "FL",
            "license": "RN9402527",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "FL",
            "license": "RN9402527",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "FL",
            "license": "RN9402527",
            "primary": false
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "FL",
            "license": "RN9402527",
            "primary": false
        },
        {
            "code": "163WU0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Urology",
            "state": "FL",
            "license": "RN9402527",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "FL",
            "license": "RN9402527",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "FL",
            "license": "RN9402527",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Jeanne Johnson-Gilchrist, LCSW, MSW, MPH, CPH
• Alexandra Johnson, PA
• Keri Ann Johnson
• Melinda L Jones
• Stephanie Cecilia Jones
• Montcarmelle Joseph
• Winstin Joseph, LPN
• Joyful Solutions Homemaker Sitter and Companion Services (Joyful Solutions Homehealth Services)
• Martha Kapitz, M.D.
• Haleigh Katwaroo

• General Practice Registered Nurse in Ruskin, FL
• Providers in Ruskin, FL by specialty
• General Practice Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.