AMY HILARY GORDON (NPI# 1164069720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164069720 |
| Entity Type | Individual |
| Full Name | AMY HILARY GORDON |
| Credential | CNM |
| Practice Address |
1625 Se 3rd Ave # 502 Fort Lauderdale FL 33316-2521 |
| Mailing Address |
14731 Madison Pl Davie FL 33325-3039 |
| Practice Telephone | 9545818706 |
| Mailing Telephone | 5082928095 |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APRN11005201 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891345583 | Amy L Gordon | Nurse Practitioner | 1532 Abbe Rd S, Elyria, OH 44035-7349 | 2019-09-16 |
| 1245748748 | Amy Gordon | Acupuncturist | 1926 N 3rd St Ste 100, Flagstaff, AZ 86004-4332 | 2018-01-18 |
| 1629062922 | Amy Nicquel Gordon | Obstetrics & Gynecology | 118 Women's Center Lane, Suite B, Hot Springs, AR 71913 | 2005-09-01 |
| 1083254619 | Amy Katherine Gordon | Pharmacist | 9440 Brownsboro Rd, Louisville, KY 40241-1200 | 2020-01-12 |
| 1679116669 | Amy Elisabeth Gordon | Counselor | 1524 Bishops Lodge Rd, B, Santa Fe, NM 87506 | 2019-10-22 |
| 1780162354 | Amy Elizabeth Gordon | Pharmacist | 272 Hospital Rd, Chillicothe, OH 45601-9031 | 2018-08-05 |
| 1417497702 | Amy Gordon | Social Worker | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2017-03-06 |
| 1467810838 | Amy Gordon | Counselor | 2865 W Broad St, Columbus, OH 43204-2643 | 2016-02-01 |
| 1336573500 | Amy R Gordon | Nurse Practitioner | 525 Portland Ave, Minneapolis, MN 55415-1533 | 2013-08-23 |
| 1164798989 | Amy D'ann Gordon | Nurse Practitioner | 3506 21st St, Suite 607, Lubbock, TX 79410-1212 | 2012-03-27 |
| Street Address |
1625 SE 3RD AVE # 502 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417563446 | Tempes L Wood | Nurse Practitioner | 1881 Middle River Dr Apt 201, Fort Lauderdale, FL 33305-3555 | 2020-09-16 |
| 1093332140 | Joao Rodrigues | Nurse Practitioner | 725 Ne 14th St, Fort Lauderdale, FL 33304-1211 | 2020-07-05 |
| 1497388169 | Chessi Delaine Riner | Nurse Practitioner | 400 Sw 1st Ave Apt 2201, Fort Lauderdale, FL 33301-3493 | 2020-02-20 |
| 1235762097 | Lori Ellen Retterath | Nurse Practitioner | 1401 Ne 5th Ct, Fort Lauderdale, FL 33301-1269 | 2020-02-19 |
| 1942843313 | Bableen Kaur Bajwa | Nurse Practitioner | 2699 Stirling Rd Ste B101, Fort Lauderdale, FL 33312-6546 | 2019-10-17 |
| 1184273443 | Jennifer Marie Holody | Nurse Practitioner | 1040 Ne 16th Ave Apt 2, Fort Lauderdale, FL 33304-2516 | 2019-09-10 |
| 1164994927 | Kristen Rothstein | Nurse Practitioner | 2504 Sw 14th Ave Apt 606, Fort Lauderdale, FL 33315-2256 | 2018-12-18 |
| 1235619107 | Isa Vazquez | Nurse Practitioner | 1930 Ne 47th St Ste 300, Fort Lauderdale, FL 33308-7729 | 2018-08-20 |
| 1669969911 | Lauri Deane | Nurse Practitioner | 100 N Federal Hwy # C2, Fort Lauderdale, FL 33301-1129 | 2018-04-21 |
| 1265953756 | Nedelis C. Buela | Nurse Practitioner | 2601 Davie Blvd, Fort Lauderdale, FL 33312-3029 | 2017-07-05 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
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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.