Ms Kimberly R Jordan, | |
1925 Mountain View Ave, Longmont, CO 80501-3128 | |
(303) 776-1234 | |
(720) 494-3107 |
Full Name | Ms Kimberly R Jordan |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 16 Years |
Location | 1925 Mountain View Ave, Longmont, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609111640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LD-0824 (New Mexico) | Secondary |
133V00000X | Dietitian, Registered | 1020228 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Poudre Valley Medical Group Llc | 9638208549 | 1607 |
Provider Name | Poudre Valley Medical Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
Mailing Address | Practice Location Address |
---|---|
Ms Kimberly R Jordan, 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (303) 776-1234 | Ms Kimberly R Jordan, 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (303) 776-1234 |
Deborah Gertner, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1239 Collyer St, Longmont, CO 80501 Phone: 720-593-8190 | |
Peak Nutrition Works Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1309 Sunset St, Longmont, CO 80501 Phone: 720-684-4147 Fax: 303-651-6781 | |
Lisa Stewart Mink, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1925 W. Mountain View Ave, Longmont, CO 80501 Phone: 720-494-3119 | |
Amber Layton, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1426 S Pratt Pkwy, Longmont, CO 80501 Phone: 720-600-8240 | |
Melinda Benz Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1751 Hover St, Ste B4 #84, Longmont, CO 80501 Phone: 719-347-1310 | |
Sheryl A Bachman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3190 | |
Ms. Laura Palazzolo Kraus, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1254 Gay St, Longmont, CO 80501 Phone: 914-262-7879 |