Catherine Jordan

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

421195 Issued in NY

Practice address

4850 Broad Rd Ste 2C
Syracuse, NY 13215-5103

Phone

(315) 492-5915

NPI assigned

Jul 14, 2014

Last updated

Oct 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Albany Ivf-Fertility and Gynecology Center

  • Specialist
  • Albany, NY
  • NPI 1588835763
  NPD (past)

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1952718785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD STE 2C",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155103",
            "telephone_number": "315-492-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 BROAD RD STE 2C",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132155103",
            "telephone_number": "315-492-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421195",
            "primary": true
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "NY",
            "license": "496152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara E Jones, M.S., SLP
• Timothy Allen Jones Sr., RPH
• Wilcreshia Jones
• Michele M Jonientz, CCC-SLP
• Jimin Joo, OD
• Dekeisha Denise Jordan, LPN
• J Douglas Jordan, M.D.
• Tabatha Jorgensen
• Michael Richard Jorolemon, DO
• Cyriac T Joseph, MD

• Women's Health Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Women's Health Nurse Practitioner in New York

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