Diana Jordan, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131322 Issued in TX

Practice address

1101 Baylor Dr
Longview, TX 75601-4410

Phone

(903) 238-3000

NPI assigned

Jun 29, 2016

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wound Management Specialists LLC 157 clinicians

Carebridge Medteam, LLC 3 clinicians

Healthcare Plus Limited Liability Company 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ut Health East Texas Home Health Services Home health agency, Pittsburg, TX, CCN 677037
• Elite Home Health Home health agency, Longview, TX, CCN 453182
• Vitalcaring Group Home health agency, Henderson, TX, CCN 458072
• Accentcare Home Health of Houston - North, LLC Home health agency, Houston, TX, CCN 457741
• Accentcare Home Health of Texas Home health agency, Longview, TX, CCN 679090

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Carebridge Medteam, LLC

  • Nurse Practitioner
  • Longview, TX
  • NPI 1013741420

  TX

  Medicare reassignment Care Compare group NPD
• Healthcare Plus Limited Liability Company

  • Specialist
  • Metairie, LA
  • NPI 1063927465

  TX

  Medicare reassignment Care Compare group NPD
• Wound Management Specialists, LLC

  • Nurse Practitioner
  • Flowood, MS
  • NPI 1972150084

  TX

  Medicare reassignment Care Compare group NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019

  Family, TX

  Medicare reassignment NPD
• Phynet, Inc.

  • Health Service Clinic/Center
  • Gladewater, TX
  • NPI 1912174111
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Accentcare Home Health of Houston - North, LLC

  • Home Health Agency
  • Houston, TX
  • NPI 1306544689
  Care Compare affiliation
• East Texas Home Health Services LLC

  • Home Health Agency
  • Pittsburg, TX
  • NPI 1578061487
  Care Compare affiliation
• Northeast Texas Home Health Agency LTD

  • Home Health Agency
  • Henderson, TX
  • NPI 1871632513
  Care Compare affiliation
• Texas Home Health Skilled Services,LP

  • Home Health Agency
  • Longview, TX
  • NPI 1669695722
  Care Compare affiliation
• Valerieanne and Floyd, Inc.

  • Home Health Agency
  • Longview, TX
  • NPI 1932263787
  Care Compare affiliation

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1982055091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 TECHNOLOGY CTR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052697",
            "telephone_number": "903-247-0484",
            "fax_number": "903-247-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BAYLOR DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014410",
            "telephone_number": "903-238-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "DIANA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "771214",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Taylor Jones
• Susan B Jones, AUDIOLOGIST
• Susan R. Jones, P.A.
• Tameka Jones, MS LPC
• Richard Albert Joos, M.D.
• Heather Jordan
• Phyllis Jordan
• Armon J Jorden, MD
• Gale L Joslin, PHD
• Joushuas Covenants Residential Care L.L.C.

• All providers in Longview, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.