MS. ELLA MAE GORDON (NPI# 1194093344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194093344 |
| Entity Type | Individual |
| Full Name | MS. ELLA MAE GORDON |
| Credential | N.P. |
| Practice Address |
450 West State Street 4th Floor Boise ID 83720-0036 |
| Practice Telephone | 2083345616 |
| Practice Fax Number | 2083327346 |
| Mailing Telephone | 2083345616 |
| Mailing Fax Number | 2083327346 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2011-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | IDAHONP-99 | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
450 WEST STATE STREET 4TH FLOOR |
| City | BOISE |
| State | ID |
| Zip Code | 83720-0036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174411 | K-now Behavioral Solutions, LLC | Behavioral Analyst | 9917 W Antietam St, Boise, ID 83709-3405 | 2020-11-06 |
| 1497356612 | Golden Hour Care Services, LLC | Technician | 3185 S Apple St Apt 104, Boise, ID 83706-6823 | 2020-11-04 |
| 1770183089 | Boise State University | Clinical Medical Laboratory | Bsu Science Bld Room 239 2133 W Cesar Chavez Ln, Boise, ID 83725-0001 | 2020-10-27 |
| 1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
| 1487253233 | Miller Organization LLC | Hearing Instrument Specialist | 7974 W Fairview Ave, Boise, ID 83704-8421 | 2020-10-22 |
| 1568061398 | Nicolette A Eberline | Nurse Practitioner | 4228 W Guard St Bldg 665, Boise, ID 83705-8049 | 2020-10-22 |
| 1215536362 | Daniel & Max, LLC | Optometrist | 1405 N Milwaukee St, Boise, ID 83704-8400 | 2020-10-20 |
| 1740889989 | Sarah Lorraine Gill | Behavior Technician | 1015 W University Dr, Boise, ID 83706-3006 | 2020-10-20 |
| 1124626502 | Michael Corey | Behavior Technician | 4618 W Gage St, Boise, ID 83706-2124 | 2020-10-16 |
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| Find all providers in BOISE | ||||
| 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 |
|---|---|---|---|---|
| 1588288336 | Katina Ross | Nurse Practitioner | 11695 W Baserri Dr, Boise, ID 83709-1307 | 2020-06-07 |
| 1932741212 | Kylie B Di Lulo | Nurse Practitioner | 1309 E Fall Ct, Boise, ID 83706-5076 | 2019-10-08 |
| 1033638150 | Michael P Lorentzen | Nurse Practitioner | 190 E Bannock St Fl 9, Boise, ID 83712-6241 | 2017-09-11 |
| 1063786648 | Tennessee Phs PC | Nurse Practitioner | 950 W. Bannock Street, Suite 1100, Boise, ID 83702-6140 | 2012-02-29 |
| 1174839666 | Meghann R Bostrom | Nurse Practitioner | 13099 W Paint Dr, Boise, ID 83713-1927 | 2010-08-23 |
| 1255653796 | Natalia Khochay | Nurse Practitioner | 1075 N. Curtis Rd., Suite 200, Boise, ID 83706-1300 | 2010-02-25 |
| 1164670378 | Janet Mcreynolds Pelton | Nurse Practitioner | 2074 Roanoke Dr, Boise, ID 83712-7529 | 2008-08-29 |
| 1619155249 | Loreen Anne Nugent | Nurse Practitioner | 3611 Tamarack Dr, Boise, ID 83703-4551 | 2008-02-06 |
| 1891904132 | Mario P Martinez | Nurse Practitioner | 1075 S Curtis Rd, Suite 200, Boise, ID 83706-1350 | 2007-05-22 |
| 1043334477 | Sally Suter | Nurse Practitioner | 704 S Latah, The Friendship Clinic, Boise, ID 83706 | 2007-03-19 |
| Find all providers in BOISE | ||||
Please comment or provide details below to improve the information on MS. ELLA MAE GORDON.
| 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.