Tiffany Carr Jordan, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

227131 Issued in LA

Practice address

2751 Wooddale Blvd Ste a
Baton Rouge, LA 70805-7567

Phone

(225) 925-1906

Fax

(225) 362-5356

NPI assigned

Oct 6, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Area Human Services DistrictGroup PAC ID 2769450733, shared by 3 NPIs, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Capital Area Human Services District

  dba Baton Rouge Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1174681852
  Medicare reassignment NPD
• Capital Area Human Services District

  dba North Baton Rouge Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1710047980
  Medicare reassignment NPD
• Capital Area Human Services District

  dba Ascension Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gonzales, LA
  • NPI 1730104654
  Medicare reassignment NPD
• Capital Area Human Services District

  dba Capital Area Human Services Total Health and Wellness Clinic

  • Adult Medicine Physician
  • Baton Rouge, LA
  • NPI 1609609023
  NPD

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1972228468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66558",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708966558",
            "telephone_number": "225-925-4282",
            "fax_number": "225-362-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 WOODDALE BLVD STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708057567",
            "telephone_number": "225-925-1906",
            "fax_number": "225-362-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TIFFANY",
        "middle_name": "CARR",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "227131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakara Jovarn Jordan, D.D.S.
• Lynne Jordan, L.C.S.W.
• Marla Marie Jordan
• Melissa Jordan
• Renwick Lee Jordan Sr.
• Tykeisha Renee Jordan, CIM
• Wyona Jordan
• Miranda E.K. Jorgenson, D.C.
• Todd A Jorgenson, D.C.
• Peter Jory

• Psychiatric/Mental Health Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.