JORDAN LARSEN
NPI 1689294076
Student in an Organized Health Care Education/Training Program in Durham, NC

Q: What is Jordan Larsen's NPI number?

The NPI number for Jordan Larsen is 1689294076. It was assigned to this individual provider in the NPPES registry on April 25, 2020.

Q: What is Jordan Larsen'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 Jordan Larsen was last updated on April 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 25, 2020PECOS Enrolled

2301 ERWIN RD, DURHAM, NC 27705(919) 684-8111 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 5, 2021, Apr 25, 2020 (2 updates tracked since 2020).

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About Jordan Larsen NPPES

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

JORDAN LARSEN (NPI 1689294076) is an individual student in an organized health care education/training program in Durham, North Carolina and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689294076

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJORDAN LARSEN

Location Address2301 ERWIN RDDurham, NC 27705-4699

Mailing Address2301 Erwin RdDurham, NC 27705-4699 · (919) 684-8111

Phone(919) 684-8111

Sole ProprietorNo

Enumeration DateApril 25, 2020

Last NPPES UpdateApril 5, 20212 updates tracked since enumeration

NPPES CertifiedApril 5, 2021

✔ NPI 1689294076 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.

2301 ERWIN RD, Durham, NC 27705

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jordan Larsen 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.