JORDAN KILLINGSWORTH
NPI 1477161784
Student in an Organized Health Care Education/Training Program in Houston, TX

Active since July 22, 2020
6431 FANNIN ST., MSB 1.126, HOUSTON, TX 77030(713) 500-6525 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 3, 2021, Jul 22, 2020 (2 updates tracked since 2020).

About Jordan Killingsworth NPPES

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

JORDAN KILLINGSWORTH (NPI 1477161784) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since July 2020. He maintains a secondary practice location in Midland.

NPPES Registry Identity

NPI1477161784
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJORDAN KILLINGSWORTH
Location Address6431 FANNIN ST., MSB 1.126Houston, TX 77030
Mailing Address6431 Fannin St., Msb 1.126Houston, TX 77030
Sole ProprietorNo
Enumeration DateJuly 22, 2020
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 26, 2021
✔ NPI 1477161784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
6431 FANNIN ST., MSB 1.126, Houston, TX 77030

Secondary Practice Location 1

Location 14000 Wellness DrMidland, MI 48670-2000 · Phone (989) 839-3000

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 Killingsworth's NPI number?

The NPI number for Jordan Killingsworth is 1477161784. It was assigned to this individual provider in the NPPES registry on July 22, 2020.

Where is Jordan Killingsworth located?

Jordan Killingsworth practices at 6431 Fannin St., Msb 1.126, Houston, TX 77030. The listed phone number is (713) 500-6525.

What is Jordan Killingsworth'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 Jordan Killingsworth was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.