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Deactivated NPI 1386628584 Deactivated / Inactive NPI Female Practitioner

Kathryn J Jordan , NP

Nurse Practitioner • Mason, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kathryn Jordan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 01, 2005
NPI Deactivation Date April 05, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Kathryn Jordan, NP was a registered Nurse Practitioner practicing in Mason, TX. Throughout an active medical career spanning 17 years, Kathryn Jordan provided care at the practice location at 216 E COLLEGE until profile deactivation on 2022-04-05.

Practice Location & Contact Primary Location

Practice Address

216 E College

Mason, TX 768561390

Telephone 3253475926
Fax 3253475531
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mason, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Mason, TX (4894 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TX 624652

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Savannah Cruz , MD

Family Medicine

NPI 1093418360

Doctor of Medicine (M.D.)

Sherry Alexander , PA-C

Physician Assistant

NPI 1245213586

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 05, 2022

Record deactivated on April 05, 2022

NPI Profile Active August 26, 2008

NPI status registered as active in NPPES database

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Updated Practice Location August 26, 2008

Registered at 216 E COLLEGE, MASON, TX 768561390 (Tel: 3253475926)

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Updated Business Mailing Address August 26, 2008

Registered at 200 W OLLIE ST, LLANO, TX 786432628 (Tel: 3252475040)

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Provider Name / Credentials Updated August 26, 2008

Recorded as KATHRYN JORDAN, NP

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2008

Nurse Practitioner (License #624652 in TX)

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Initial NPI Registration & Enumeration December 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386628584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: August 26, 2008
Deactivation Date: April 05, 2022

Mailing Address

200 W Ollie St

Llano, TX 786432628

Phone: 3252475040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.