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JORDAN SANTOS
NPI 1861115925
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Active since September 23, 2022PECOS Enrolled
1400 8TH AVE, FORT WORTH, TX 76104(817) 922-4587 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, Sep 23, 2022 (2 updates tracked since 2022).

About Jordan Santos NPPES

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

JORDAN SANTOS (NPI 1861115925) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861115925
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN SANTOS
Location Address1400 8TH AVEFort Worth, TX 76104-4110
Mailing Address1400 8th AveFort Worth, TX 76104-4110
Phone(817) 922-4587
Sole ProprietorNo
Enumeration DateSeptember 23, 2022
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1861115925 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.
1400 8TH AVE, Fort Worth, TX 76104
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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 Santos 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.

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.

JOEY MAYOR MD
Emergency Medicine
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (214) 712-2074
MARY AGNES JOHNSON NP
Nurse Practitioner
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-7070
JEFF DURBIN
Registered Nurse (Registered Nurse First Assistant)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
AUSTIN FORD BENTON PA-C
Physician Assistant
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 926-2544
ANNELISE KUTZLER
Obstetrics & Gynecology
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
ESHA SINGHAL MD
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4534
SARAH ELIZABETH ANDRADE DO
Student in an Organized Health Care Education/Training Program
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-4535
DR. LUCAS CADE COLSON PHARM. D.
Pharmacist (Pharmacotherapy)
1400 8TH AVE
FORT WORTH, TX 76104
Tarrant County (817) 922-2074

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 Santos's NPI number?

The NPI number for Jordan Santos is 1861115925. It was assigned to this individual provider in the NPPES registry on September 23, 2022.

Where is Jordan Santos located?

Jordan Santos practices at 1400 8th Ave, Fort Worth, TX 76104. The listed phone number is (817) 922-4587.

What is Jordan Santos's specialty?

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

Is Jordan Santos enrolled in Medicare?

Yes. Jordan Santos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jordan Santos was last updated on April 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.