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TRACY LYNN JORDAN
NPI 1104631167
Peer Specialist in Fresno, CA

Active since February 07, 2025
2549 W SHAW AVE, FRESNO, CA 93711(559) 264-7521 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 21, 2025, Feb 7, 2025 (2 updates tracked since 2025).

About Tracy Lynn Jordan NPPES

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

TRACY LYNN JORDAN (NPI 1104631167) is an individual peer specialist in Fresno, California and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1104631167
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTRACY LYNN JORDAN
Location Address2549 W SHAW AVEFresno, CA 93711-3308
Mailing Address2549 W Shaw AveFresno, CA 93711-3308 · (559) 264-7521
Phone(559) 264-7521
Sole ProprietorYes
Enumeration DateFebruary 7, 2025
Last NPPES UpdateFebruary 21, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1104631167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2549 W SHAW AVE, Fresno, CA 93711
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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.

KATEE ALLISON WHEATON
Social Worker
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 264-7521
AMANDA JOANN CARLSON
Peer Specialist
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 579-1744
ANDREA MARIE VERRETTE
Social Worker
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 217-9496
RACHEL MORGAN STANTON
Community Health Worker
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 264-7521
SHWETHA RAVINDRANATH KATTA
Psychiatry & Neurology (Psychiatry)
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (516) 304-6808
DELORES JEAN AGUIRRE BS
Day Training/Habilitation Specialist
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 290-6111
LILIANA CAMARILLO
Marriage & Family Therapist
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 264-7521
SEAN ROBERT BENGE
Peer Specialist
2549 W SHAW AVE
FRESNO, CA 93711
Fresno County (559) 264-7521

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 Tracy Jordan's NPI number?

The NPI number for Tracy Jordan is 1104631167. It was assigned to this individual provider in the NPPES registry on February 7, 2025.

Where is Tracy Jordan located?

Tracy Jordan practices at 2549 W Shaw Ave, Fresno, CA 93711. The listed phone number is (559) 264-7521.

What is Tracy Jordan's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Tracy Jordan was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.