1. Home
  2. Directory
  3. Colorado
  4. Pueblo
  5. Registered Nurse
  6. NPI Profile

JORDAN WALLER
NPI 1083220081
Registered Nurse in Pueblo, CO

Active since September 16, 2020
1 WELLNESS WAY, PUEBLO, CO 81006(719) 545-2746 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Waller NPPES

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

JORDAN WALLER (NPI 1083220081) is an individual registered nurse in Pueblo, Colorado, licensed in Colorado (RN.1649284) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1083220081
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameJORDAN WALLER
Location Address1 WELLNESS WAYPueblo, CO 81006-2103
Mailing Address41 Montebello Rd Ste 204Pueblo, CO 81001-1379 · (719) 545-2746 · Fax (719) 545-4100
Phone(719) 545-2746
Sole ProprietorNo
Enumeration DateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
✔ NPI 1083220081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in CO · RN.1649284
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedCounselorTaxonomy 101Y00000X
1 WELLNESS WAY, Pueblo, CO 81006
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

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

CRYSTAL SMITH RN
Registered Nurse
1 WELLNESS WAY
PUEBLO, CO 81006
Pueblo County (719) 545-2746
BRIANNA WALLACE
Case Manager/Care Coordinator
1 WELLNESS WAY
PUEBLO, CO 81006
Pueblo County (719) 545-2746
KAYELA REEDER
Registered Nurse
1 WELLNESS WAY
PUEBLO, CO 81006
Pueblo County (719) 545-2746
ROBIN BACHICHA
Behavior Technician
1 WELLNESS WAY
PUEBLO, CO 81006
Pueblo County (719) 545-2746
SHARON MEDINA
Case Manager/Care Coordinator
1 WELLNESS WAY
PUEBLO, CO 81006
Pueblo County (719) 545-2746
DANETTE BALLARD
Case Manager/Care Coordinator
1 WELLNESS WAY
PUEBLO, CO 81006
Pueblo County (719) 545-2746
JOSEPH LUCERO
Case Manager/Care Coordinator
1 WELLNESS WAY
PUEBLO, CO 81006
Pueblo County (719) 545-2746

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 Jordan Waller's NPI number?

The NPI number for Jordan Waller is 1083220081. It was assigned to this individual provider in the NPPES registry on September 16, 2020.

Where is Jordan Waller located?

Jordan Waller practices at 1 Wellness Way, Pueblo, CO 81006. The listed phone number is (719) 545-2746.

What is Jordan Waller's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Jordan Waller was last updated on September 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.