MRS. NICOLE MARIE GORDON (NPI# 1164636064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164636064 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE MARIE GORDON |
| Credential | OTR |
| Practice Address |
2611 Guthrie Ave N Oakdale MN 55128-3924 |
| Practice Telephone | 6517040854 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 102111 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719067 | Nicole Lynn Gordon | Home Health Aide | 1013 W Semmes Ave, Osceola, AR 72370-2347 | 2020-10-28 |
| 1477192953 | Nicole Denise Gordon | Student in an Organized Health Care Education/Training Program | 26 Bog Hill Rd, Weare, NH 03281-4200 | 2019-12-31 |
| 1871144535 | Nicole Gordon | Counselor | 7609 W Rovey Ave, Glendale, AZ 85303-4250 | 2019-09-24 |
| 1609217447 | Nicole Gordon | Pharmacist | 2352 Shire Way, Oakdale, CA 95361-8923 | 2013-07-09 |
| 1013123470 | Nicole Thornton Gordon | Dentist | 691 Alderman Rd, Palm Harbor, FL 34683-2602 | 2007-05-15 |
| 1982686523 | Nicole Michelle Gordon | Internal Medicine | 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308-2246 | 2005-11-18 |
| 1750988333 | Nicole Gordon | Case Manager/Care Coordinator | 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 | 2020-10-06 |
| 1154834604 | Nicole Gordon | Occupational Therapist | 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 | 2017-11-07 |
| 1720504376 | Nicole Gordon | Case Manager/Care Coordinator | 555 Cincinnati-batavia Pike, Cincinnati, OH 45244 | 2017-08-16 |
| 1285166140 | Nicole Gordon | Student in an Organized Health Care Education/Training Program | 4860 Y St, Ste 1600, Sacramento, CA 95817-2307 | 2017-03-30 |
| Street Address |
2611 GUTHRIE AVE N |
| City | OAKDALE |
| State | MN |
| Zip Code | 55128-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578174181 | James Albert Nguyen | Pharmacist | 985 Geneva Ave, Oakdale, MN 55128 | 2020-08-17 |
| 1154895977 | Northstar Behavioral Health | Substance Abuse Rehabilitation Facility | 5713 Geneva Ave N, Oakdale, MN 55128 | 2019-01-15 |
| 1780131391 | Beth Reitzel | Social Worker | 7066 Stillwater Boulevard North, Oakdale, MN 55128 | 2016-09-01 |
| 1740645407 | Caring Hand LLC | Non-emergency Medical Transport (VAN) | 6703 13th St. Ct N Oakdale, Oakdale, MN 55128 | 2015-12-23 |
| 1689040453 | Hy Vee Inc | Pharmacy | 7180 10th Street N, Oakdale, MN 55128 | 2015-08-17 |
| 1902169550 | Susan Kay Milner | Pharmacist | 300 Clydesdale Trail, Target 2223, Medina, MN 55128 | 2012-06-19 |
| 1144581125 | Christine Vanjaeckel | Specialist | 434 Hayward Ave N, Oakdale, MN 55128 | 2012-06-06 |
| 1811122757 | Amy Ha Truong | Dentist | 6230 10th St N Ste 520, Oakdale, MN 55128 | 2009-05-21 |
| 1538329263 | Victoria Louise Brown-nyseth | Psychiatry & Neurology | 7755 3rd St N Ste 300, Oakdale, MN 55128 | 2008-06-16 |
| 1639292147 | Robert C. Dinga | Optometrist | 8344 3rd Street North, Oakdale, MN 55128 | 2007-04-09 |
| Find all providers in zip 55128 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154986222 | Keith Koppenhoefer | Occupational Therapist | 115 Lincoln Dr, Oakdale, NY 11769-2133 | 2019-05-04 |
| 1619459575 | Joseph Huberman | Occupational Therapist | 24 La Salle Pl, Oakdale, NY 11769-1859 | 2018-09-06 |
| 1710345822 | William Creel | Occupational Therapist | 7922 Upper 26th St N, Oakdale, MN 55128-4829 | 2016-02-03 |
| 1023440112 | Heather Renee Swanson-juvera | Occupational Therapist | 1132 Granada Ave N, Oakdale, MN 55128-5835 | 2013-07-31 |
| 1770856270 | Tasha Rose Mitchell | Occupational Therapist | 84821 529th Ave, Oakdale, NE 68761-3005 | 2012-02-14 |
| 1063700557 | Penny L Manuel | Occupational Therapist | 1504 Lower Beaver Rd, Oakdale, LA 71463-8016 | 2011-07-18 |
| 1821243361 | Tara Anne Velez | Occupational Therapist | 1227 Montauk Hwy Unit 2, Oakdale, NY 11769-1492 | 2008-11-25 |
| 1427206994 | Cynthia Marie Muncaster | Occupational Therapist | 137 Meeting House Ln, Oakdale, CT 06370-1306 | 2008-09-08 |
| 1609085802 | Roslyn M Bowen | Occupational Therapist | 75 Fernwood Ave, Oakdale, NY 11769-2020 | 2007-05-22 |
| 1609919984 | Bonnie Lynn Rubell | Occupational Therapist | 1227 2 Montauk Highway, Tender Age Pt Inc, Oakdale, NY 11769 | 2007-02-15 |
| Find all providers in OAKDALE | ||||
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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.