Active NPI
Nan Jeanne Jordan, FNP
- Family Nurse Practitioner
- Durango, CO
National Provider Identifier
1992099048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- C-APN.0002961-C-NP
- Practice address
- 1970 E 3Rd Ave Ste 102
Durango, CO 81301-5025 - Phone
- (512) 569-5440
- NPI assigned
- Jun 7, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 610490 | TX | |
| Family Nurse Practitioner | 363LF0000X | C-APN.0002961-C-NP | CO | Primary |
Addresses
Primary practice location
1970 E 3Rd Ave Ste 102
Durango, CO 81301-5025
Mailing address
1970 E 3Rd Ave Ste 102
Durango, CO 81301-5025
Phone (970) 247-2214
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0002961-C-NP | CO | MD | Family Nurse Practitioner |
| 610490 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aco Jason Martin Medical Consulting | Past | Accepting new patients | |
| Rapidcare Clinic PA | 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.
-
- Internal Medicine Physician
- Austin, TX
- NPI 1881578961
-
- Clinic/Center
- Leander, TX
- NPI 1013094168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1992099048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 E 3RD AVE STE 102",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015025",
"telephone_number": "970-247-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 E 3RD AVE STE 102",
"city": "DURANGO",
"state": "CO",
"postal_code": "813015025",
"telephone_number": "512-569-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN",
"first_name": "NAN",
"middle_name": "JEANNE",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-07",
"last_updated": "2021-09-15",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "610490",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0002961-C-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.