ANDRES GORDILLO (NPI# 1033654462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033654462 |
| Entity Type | Individual |
| Full Name | ANDRES GORDILLO |
| Credential | M.S CCC-SLP |
| Practice Address |
3823 E State Road 64 Fl 34208 Bradenton FL 34208-9041 |
| Mailing Address |
3823 E State Road 64 Bradenton FL 34208-9041 |
| Practice Telephone | 9417455111 |
| Mailing Telephone | 5613057975 |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2018-03-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA15492 | FL | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 019549700 | 05 |
| Street Address |
3823 E STATE ROAD 64 FL 34208 |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208-9041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1962960146 | Elite Surgery Center, LLC | Plastic Surgery | 5301 4th Ave Circle E, Bradenton, FL 34208 | 2019-03-07 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc | Dentist | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669096178 | Sarah Smith Letsky | Speech-Language Pathologist | 13214 Sorrento Way, Bradenton, FL 34211-2175 | 2020-05-31 |
| 1114455946 | Megan Nicole Simon | Speech-Language Pathologist | 872 62nd Street Cir E Ste 101-103, Bradenton, FL 34208-6238 | 2017-05-24 |
| 1053842484 | Rebecca Sutton | Speech-Language Pathologist | 4550 47th St W Apt 425, Bradenton, FL 34210-2827 | 2017-03-27 |
| 1003354564 | Laure M Weissman | Speech-Language Pathologist | 126 Babbling Brook Run, Bradenton, FL 34212-3008 | 2017-02-05 |
| 1568905131 | Tamara Keeton | Speech-Language Pathologist | 4616 62nd Ave E, Bradenton, FL 34203-6306 | 2016-11-29 |
| 1053866327 | Kathleen Marie Merritt | Speech-Language Pathologist | 2200 38th Ave W # 14r-524, Bradenton, FL 34205-5017 | 2016-08-16 |
| 1669833646 | Pinnacle Academy, Inc | Speech-Language Pathologist | 6215 Lorraine Road, Bradenton, FL 34202 | 2016-03-17 |
| 1669841029 | Chelsea Hodges | Speech-Language Pathologist | 1414 69th Ave W, Bradenton, FL 34207-5850 | 2015-09-16 |
| 1225420557 | Sunda Kamiya | Speech-Language Pathologist | 4207 38th Ave E, Bradenton, FL 34208-6903 | 2015-02-24 |
| 1124421029 | Elyse Gordon | Speech-Language Pathologist | 8114 Spring Marsh Dr, Bradenton, FL 34201-2083 | 2014-10-06 |
| Find all providers in BRADENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.