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Jordan Kivrak, RN, MSN
NPI 1235929480 · Nutrition Support Registered Nurse · Fenton, MO
Jordan Kivrak, RN, MSN is a Nutrition Support Registered Nurse provider in Fenton, MO (NPI 1235929480).
Provider details
- NPI number
- 1235929480
- Entity type
- Individual
- Primary specialty
- Nutrition Support Registered NurseNursing Service Providers
- Credential
- RN, MSN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2014019831 (MO)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES 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
216 Stone View Ct
Fenton, MO 63026-5108
Phone: (573) 300-1399
Fax: (573) 300-1399
Street-level locationGet directions
Mailing address
216 Stone View Ct
Fenton, MO 63026-5108
Registry dates
- Enumerated
- 2025-05-10
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Frequently asked questions
- What is Jordan Kivrak's NPI number?
- Jordan Kivrak's National Provider Identifier (NPI) is 1235929480, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Kivrak's specialty?
- Jordan Kivrak is listed in the NPPES registry with a primary specialty of Nutrition Support Registered Nurse (Nursing Service Providers).
- Where is Jordan Kivrak located?
- Jordan Kivrak's practice location on file with NPPES is 216 Stone View Ct, Fenton, MO 63026-5108.
- What is Jordan Kivrak's phone number?
- The practice phone number listed in the NPPES registry for Jordan Kivrak is (573) 300-1399.
- Is Jordan Kivrak's NPI active?
- Yes — Jordan Kivrak's NPI (1235929480) is active in the NPPES registry as of the last update on 2025-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.