Sandra Kay Jordan, R.D., LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

R518238 Issued in SC

Practice address

400 Pearman Dairy Rd
Anderson, SC 29625-3100

Phone

(864) 260-5030

Fax

(864) 260-5074

NPI assigned

Oct 23, 2007

Last updated

Oct 23, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Anderson School District Five

  • Local Education Agency (LEA)
  • Anderson, SC
  • NPI 1225903206
  NPD (past)
• Anderson School District Five

  • School Counselor
  • Anderson, SC
  • NPI 1912970674
  NPD (past)

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1982893137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W NORTH AVE",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296252945",
            "telephone_number": "864-224-4280",
            "fax_number": "864-260-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PEARMAN DAIRY RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296253100",
            "telephone_number": "864-260-5030",
            "fax_number": "864-260-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "SANDRA",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "R.D., LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "GA",
            "license": "LD002421",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "R518238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Austin Jones, PA-C
• Shirley Jones
• Ashlynn Monroe Jordan, SSP, LPES
• Bailee Parris Jordan
• Kathryn Jordan, M.C.D., SLP-CCC
• Anthony Benjamin Joseph, MD
• Stephanie Reed Joseph, MA
• Felicitas Panga Jove, PT
• June P. Souviron M.D.P.a.
• Alan Andrew Kachik, RPH

• Registered Dietitian in Anderson, SC
• Providers in Anderson, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.