SYMONE JORDAN
NPI 1023751583
Student in an Organized Health Care Education/Training Program in Louisville, KY

Q: What is Symone Jordan's NPI number?

The NPI number for Symone Jordan is 1023751583. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Q: What is Symone Jordan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Symone Jordan was last updated on November 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 13, 2022PECOS Enrolled

500 S PRESTON ST RM 305, LOUISVILLE, KY 40202(502) 852-5193 Get Directions Write a Review

NPPES record last updated: November 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2022, Sep 19, 2022, Apr 13, 2022 (3 updates tracked since 2022).

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About Symone Jordan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYMONE JORDAN (NPI 1023751583) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1023751583

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSYMONE JORDAN

Location Address500 S PRESTON ST RM 305Louisville, KY 40202-1702

Mailing Address500 S Preston St Rm 305Louisville, KY 40202-1702 · (502) 852-5193

Phone(502) 852-5193

Sole ProprietorYes

Enumeration DateApril 13, 2022

Last NPPES UpdateNovember 23, 20223 updates tracked since enumeration

NPPES CertifiedNovember 23, 2022

✔ NPI 1023751583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

500 S PRESTON ST RM 305, Louisville, KY 40202

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Secondary Practice Location 1

Location 1500 S Preston St Rm 305Louisville, KY 40202-1702 · Phone (502) 852-5193

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Symone Jordan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANNE GRACE SCHULTZ

Student in an Organized Health Care Education/Training Program