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KAITLYN JORDAN
NPI 1063292019
Student in an Organized Health Care Education/Training Program in Huntington Station, NY

Active since October 05, 2023
2075 NEW YORK AVE, HUNTINGTON STATION, NY 11746(631) 351-7112 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kaitlyn Jordan NPPES

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

KAITLYN JORDAN (NPI 1063292019) is an individual student in an organized health care education/training program in Huntington Station, New York and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1063292019
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKAITLYN JORDAN
Location Address2075 NEW YORK AVEHuntington Station, NY 11746-3238
Mailing Address2075 New York AveHuntington Station, NY 11746-3238 · (631) 351-7112
Phone(631) 351-7112
Sole ProprietorNo
Enumeration DateOctober 5, 2023
NPPES CertifiedOctober 5, 2023
✔ NPI 1063292019 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.

2075 NEW YORK AVE, Huntington Station, NY 11746
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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.

MR. THOMAS S. FIGUEROA SR. CASAC
Counselor (Addiction (Substance Use Disorder))
2075 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 351-7112
NATALIE BERNE LPN
Clinic/Center (Rehabilitation, Substance Use Disorder)
2075 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 351-7112
MS. CORINE FRANCESCA PATTI LMSW
Social Worker
2075 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 351-7112
TUESDAY N GUNDERSEN
Counselor (Addiction (Substance Use Disorder))
2075 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 351-7112
KATRINA E AMADIO
Social Worker
2075 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 351-7112
KATHERINE LUTZ CASAC
Counselor
2075 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 351-7112
JENNIFER MONTUFAR
Counselor (Addiction (Substance Use Disorder))
2075 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 351-7112
EDWARD HARDWICK
Counselor (Addiction (Substance Use Disorder))
2075 NEW YORK AVE
HUNTINGTON STATION, NY 11746
Suffolk County (631) 351-7112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Jordan's NPI number?

The NPI number for Kaitlyn Jordan is 1063292019. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Where is Kaitlyn Jordan located?

Kaitlyn Jordan practices at 2075 New York Ave, Huntington Station, NY 11746. The listed phone number is (631) 351-7112.

What is Kaitlyn Jordan's specialty?

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

When was this NPI record last updated?

The NPPES record for Kaitlyn Jordan was last updated on October 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.