Derek Joseph Jordan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

517 32ND St Apt 25
Bellingham, WA 98225-6536

Phone

(509) 871-0859

NPI assigned

Jul 20, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Derek J Jordan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1942873807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 32ND ST APT 25",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256536",
            "telephone_number": "509-871-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 32ND ST APT 25",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256536",
            "telephone_number": "509-871-0859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DEREK",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEREK",
            "last_name": "JORDAN",
            "middle_name": "J",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Taylor Jones
• Tracy Diane Jones
• Valeria Jones, LICSW
• Tracey Leigh-Ann Jongema, LMT
• Jennifer Jordalen, PA-C
• Jennifer Louise Jordan, L.M.P.
• Skyler Jordan
• John Jordy, LMHC, M.ED.
• Bruce H Jorgensen, D.C.
• Jane Elizabeth Jorgensen

• Student in an Organized Health Care Education/Training Program in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Student in an Organized Health Care Education/Training Program in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.