Jordan Sidebottom, PMHNP-BC
NPI 1053243659 · Psychiatric/Mental Health Nurse Practitioner · Salem, MA
Jordan Sidebottom, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Salem, MA (NPI 1053243659).
Provider details
- NPI number
- 1053243659
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN2265344 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-05-30
- Last updated
- 2026-05-30
- Certified
- 2026-05-30
Frequently asked questions
- What is Jordan Sidebottom's NPI number?
- Jordan Sidebottom's National Provider Identifier (NPI) is 1053243659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Sidebottom's specialty?
- Jordan Sidebottom is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jordan Sidebottom located?
- Jordan Sidebottom's practice location on file with NPPES is 19 Bertuccio Ave, Salem, MA 01970-2931.
- What is Jordan Sidebottom's phone number?
- The practice phone number listed in the NPPES registry for Jordan Sidebottom is (617) 763-4464.
- Is Jordan Sidebottom's NPI active?
- Yes — Jordan Sidebottom's NPI (1053243659) is active in the NPPES registry as of the last update on 2026-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.