MISS ANDREA MARIE GORDON (NPI# 1386192516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386192516 |
| Entity Type | Individual |
| Full Name | MISS ANDREA MARIE GORDON |
| Credential | LPN |
| Practice Address |
49 Ranch Village Ln Rochester NY 14624-2856 |
| Practice Telephone | 5857546064 |
| Mailing Telephone | 5857546064 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 424389 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114206810 | Andrea Beth Gordon | Social Worker | 50 Penn St, Port Jefferson Station, Port Jefferson Station, NY 11776-3808 | 2011-08-11 |
| 1295861854 | Andrea Briget Gordon | Marriage & Family Therapist | 316 Redondo Ave, Long Beach, CA 90814-2651 | 2007-02-26 |
| 1437203163 | Andrea D Gordon | Social Worker | 325 Manville Rd, Pleasantville, NY 10570-2122 | 2007-01-22 |
| 1184617821 | Andrea Margareta Gordon | Physical Therapist | 5111 Abercorn St, Savannah, GA 31405-5214 | 2005-08-29 |
| 1528585973 | Andrea Elizabeth Gordon | Pharmacist | 5295 34th St S, Saint Petersburg, FL 33711-4517 | 2017-08-26 |
| 1306377023 | Andrea Alexis Gordon | Registered Nurse | 6308 8th Avenue, Ste 202, Kenosha, WI 53143 | 2017-03-23 |
| 1881976868 | Andrea M Gordon | Physician Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2011-09-15 |
| 1326223116 | Andrea Jean Gordon | Counselor | 4526 Federal Ave, Everett, WA 98203 | 2007-12-31 |
| 1295725992 | Andrea Thomas Gordon | Dentist | 1408 N Kingshighway Blvd, Suite 110, Saint Louis, MO 63113-1400 | 2005-10-24 |
| 1811986292 | Andrea E Gordon | Family Medicine | 195 Canal St, Malden, MA 02148-6701 | 2005-10-18 |
| Street Address |
49 RANCH VILLAGE LN |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624-2856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689664 | Chynna S Brown | Licensed Practical Nurse | 483 Newbury St, Rochester, NY 14615-3209 | 2020-11-06 |
| 1992305775 | Sharee Walker | Licensed Practical Nurse | 145 Atlantic Ave, Rochester, NY 14607-1205 | 2020-10-29 |
| 1932708401 | Tatyanna Greene | Licensed Practical Nurse | 160 Calm Lake Cir Apt C, Rochester, NY 14612-2512 | 2020-10-25 |
| 1750989158 | Toni Foster | Licensed Practical Nurse | 72 Melrose St, Rochester, NY 14619-1802 | 2020-10-16 |
| 1861090474 | Jovon C Johnson | Licensed Practical Nurse | 24 Alfie Dr, Rochester, NY 14623-3602 | 2020-10-15 |
| 1124626031 | Heavenlee Joy Henderson | Licensed Practical Nurse | 61 Farleigh Ave, Rochester, NY 14606-2007 | 2020-10-13 |
| 1245838259 | Sherree Daniella Holloway | Licensed Practical Nurse | 156 Normandy Ave, Rochester, NY 14619-1132 | 2020-10-12 |
| 1912505173 | Robin R Graham | Licensed Practical Nurse | 70 Devon Rd, Rochester, NY 14619-2402 | 2020-10-10 |
| 1568060705 | Jasmine Daja Shannay Vick | Licensed Practical Nurse | 619 Arnett Blvd, Rochester, NY 14619-1308 | 2020-10-10 |
| 1790383925 | Nikki Pickett | Licensed Practical Nurse | 118 Hazelwood Ter, Rochester, NY 14609-5133 | 2020-10-10 |
| Find all providers in ROCHESTER | ||||
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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.