Active NPI
Jordan Elizabeth McCormick, RN
- Registered Nurse
- Warren, OH
National Provider Identifier
1942910153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN.464436
- Practice address
- 1460 Tod Ave NW
Warren, OH 44485-2407 - Phone
- (330) 392-0311
- NPI assigned
- Nov 29, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.464436 | OH | Primary |
Addresses
Primary practice location
1460 Tod Ave NW
Warren, OH 44485-2407
Mailing address
7665 Stewart Sharon Rd
Masury, OH 44438-1338
Phone (412) 551-3031
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.464436 | OH | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1942910153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7665 STEWART SHARON RD",
"city": "MASURY",
"state": "OH",
"postal_code": "444381338",
"telephone_number": "412-551-3031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 TOD AVE NW",
"city": "WARREN",
"state": "OH",
"postal_code": "444852407",
"telephone_number": "330-392-0311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "JORDAN",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-29",
"last_updated": "2022-11-29",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "RN.464436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.