Active NPI
Andrea Jordan
- Oncology Registered Nurse
- Spokane, WA
National Provider Identifier
1972922888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Registered Nurse
- License
- RN60095382
- Practice address
- 910 W 5TH Ave
Suite 102
Spokane, WA 99204-2966 - Phone
- (509) 228-1000
- Fax
- (509) 252-9300
- NPI assigned
- Apr 8, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Registered Nurse | 163WX0200X | RN60095382 | WA | Primary |
| Surgical Technologist | 246ZS0410X | ST60400874 | WA |
Addresses
Primary practice location
910 W 5TH Ave
Suite 102
Spokane, WA 99204-2966
Mailing address
PO Box 3868
Spokane, WA 99220-3868
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60095382 | WA | MD | Oncology Registered Nurse |
| ST60400874 | WA | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1972922888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3868",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 W 5TH AVE",
"address_2": "SUITE 102",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992042966",
"telephone_number": "509-228-1000",
"fax_number": "509-252-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "ANDREA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "WA",
"license": "RN60095382",
"primary": true
},
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "WA",
"license": "ST60400874",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.