Active NPI
Paul Fritz Jordan, ACNP
- Registered Nurse
- Houston, TX
National Provider Identifier
1962690263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 595381
- Practice address
- 18220 State Highway 249
Critical Care Team
Houston, TX 77070-4347 - Phone
- (281) 737-9663
- Fax
- (281) 737-2919
- NPI assigned
- Oct 11, 2007
- Sex
- Male
- 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 | 595381 | TX | Primary |
Addresses
Primary practice location
18220 State Highway 249
Critical Care Team
Houston, TX 77070-4347
Mailing address
18220 State Highway 249
Critical Care Team
Houston, TX 77070-4347
Phone (281) 737-9663
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962690263 | Other | TX | BLUE CROSS BLUE SHIELD |
| 167264403 | Medicaid | TX | |
| 595381 | Other | TX | TSMBE |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TMH Physician Associates PLLC | Past | Accepting new patients | |
| TMH Physician Organization | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1275779225
-
- Critical Care Medicine (Anesthesiology) Physician
- Houston, TX
- NPI 1598799116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1962690263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18220 STATE HIGHWAY 249",
"address_2": "CRITICAL CARE TEAM",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704347",
"telephone_number": "281-737-9663",
"fax_number": "281-737-2919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18220 STATE HIGHWAY 249",
"address_2": "CRITICAL CARE TEAM",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704347",
"telephone_number": "281-737-9663",
"fax_number": "281-737-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "PAUL",
"middle_name": "FRITZ",
"name_prefix": "Mr.",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-11",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "595381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "1962690263",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167264403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TSMBE",
"identifier": "595381",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.