JORDAN NICOLE GONZALSKI (NPI# 1093258303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093258303 |
| Entity Type | Individual |
| Full Name | JORDAN NICOLE GONZALSKI |
| Practice Address |
579 Buck Island Rd West Yarmouth MA 02673-3200 |
| Practice Telephone | 5085348131 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 76675 | MA | Speech, Language and Hearing Service Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
579 BUCK ISLAND RD |
| City | WEST YARMOUTH |
| State | MA |
| Zip Code | 02673-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300729 | Lisa Sheehan | Occupational Therapy Assistant | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2020-09-08 |
| 1962986869 | Roberta Ellen Jordan | Social Worker | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2018-09-18 |
| 1982195541 | Evan Daniel Healy | Physical Therapist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2018-05-19 |
| 1942720933 | Derek Foy | Physical Therapist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2017-06-21 |
| 1134530892 | Sarah Cozzens | Occupational Therapist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2014-05-15 |
| 1427471531 | Carrissa Gray | Occupational Therapy Assistant | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2014-01-24 |
| 1841483310 | Cynthia Lynn Towey | Physical Therapist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2007-08-19 |
| 1366569162 | Diane Maria Allard Ix | Occupational Therapist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2007-03-25 |
| 1952428757 | Therese Marie Macleod | Physical Therapy Assistant | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2007-03-25 |
| 1003932302 | Sara Leroy | Speech-Language Pathologist | 579 Buck Island Rd, West Yarmouth, MA 02673-3200 | 2007-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851892434 | Anne Lauren Koch | Dentist | 29 Lewis Bay Blvd, Suite 4, West Yarmouth, MA 02673 | 2018-02-28 |
| 1306358676 | Maggie Pirini | Student in an Organized Health Care Education/Training Program | 47 Colburne Path, West Yarmouth, MA 02673 | 2017-10-26 |
| 1790037703 | Wendy J Hartjen | Technician, Other | 44 Grace Avenue, West Yarmouth, MA 02673 | 2012-10-15 |
| 1881712750 | Gail Haden | Physical Therapy Assistant | 579 Buck Island Road, Yarmouth, MA 02673 | 2007-03-27 |
| 1851486682 | Cape Cod Medical Enterprises Inc | Ambulance | 57 Mid Tech Dr, West Yarmouth, MA 02673 | 2006-10-04 |
| 1588761787 | Professional Endodontics PC | Dentist | 30 Higgins Crowell Road, West Yarmouth, MA 02673 | 2006-09-20 |
| 1154432342 | Joseph Anthony Pare | Social Worker | 572 Route 28 Unit 4, West Yarmouth, MA 02673 | 2006-08-31 |
| 1194831859 | Stacey Anne Locascio | Counselor | 572 Main Street, Pare and Associates, West Yarmouth, MA 02673 | 2006-08-22 |
| 1497718035 | Kathryn M Rudman | Pediatrics | 150 Ansel Hallet Rd, West Yarmouth, MA 02673 | 2006-04-06 |
| 1194794206 | Sharon A Daley | Specialist | 150 Ansel Hallet Road, West Yarmouth, MA 02673 | 2006-03-14 |
| Find all providers in zip 02673 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306358676 | Maggie Pirini | Student in an Organized Health Care Education/Training Program | 47 Colburne Path, West Yarmouth, MA 02673 | 2017-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356810 | Alyssa Collins | Student in an Organized Health Care Education/Training Program | 11 Porter Ln, West Dennis, MA 02670-2318 | 2020-11-03 |
| 1306447636 | Sarah Wieman | Student in an Organized Health Care Education/Training Program | 16 Blossom St Fl 1, Boston, MA 02114-3104 | 2020-11-03 |
| 1396346920 | Bridget Costello | Student in an Organized Health Care Education/Training Program | 171 Achilles Way, North Attleboro, MA 02763-4021 | 2020-11-01 |
| 1932709938 | Brianna Mae Duval | Student in an Organized Health Care Education/Training Program | 58 Colborne Rd, Boston, MA 02135-4103 | 2020-10-28 |
| 1992305338 | Rebecca Rivas | Student in an Organized Health Care Education/Training Program | 419 Court St, Brockton, MA 02302-2809 | 2020-10-26 |
| 1417556101 | Rachel Socolof | Student in an Organized Health Care Education/Training Program | 40 Boylston St Apt 1, Malden, MA 02148-7803 | 2020-10-22 |
| 1932707445 | Kennedy Tambi | Student in an Organized Health Care Education/Training Program | 68 Charles St, Fitchburg, MA 01420-7742 | 2020-10-16 |
| 1821696261 | Julia Elizabeth Erskine | Student in an Organized Health Care Education/Training Program | 119 Boston Ave Apt 1, Medford, MA 02155-3570 | 2020-10-16 |
| 1962000216 | Cidney Moscovitch | Student in an Organized Health Care Education/Training Program | 232 Chelsea St Apt 2, East Boston, MA 02128-1765 | 2020-10-09 |
| 1780281279 | Sarah Hamad Alsaggabi | Student in an Organized Health Care Education/Training Program | 55 Traveler St Apt 1310, Boston, MA 02118-2973 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | WEST YARMOUTH |
| Zip Code | 02673 |
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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.