AKEEM MAGIC GORDON (NPI# 1427338896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427338896 |
| Entity Type | Individual |
| Full Name | AKEEM MAGIC GORDON |
| Practice Address |
350 Kresge Ln Sparks NV 89431-6435 |
| Practice Telephone | 7753599200 |
| Practice Fax Number | 7753599205 |
| Mailing Telephone | 7753599200 |
| Mailing Fax Number | 7753599205 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
350 KRESGE LN |
| City | SPARKS |
| State | NV |
| Zip Code | 89431-6435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255657607 | Kimberly Ann Houston | Social Worker | 350 Kresge Ln, Sparks, NV 89431-6435 | 2010-04-09 |
| 1396157780 | Krystal Guajardo | Psychologist | 350 Kresge Ln, Sparks, NV 89431-6435 | 2014-05-20 |
| 1467878736 | Nicole Mathias | Counselor | 350 Kresge Ln, Sparks, NV 89431-6435 | 2014-03-11 |
| 1356690176 | Chris Hubbell | Behavioral Analyst | 350 Kresge Ln, Sparks, NV 89431-6435 | 2012-09-07 |
| 1356603039 | Carlos Eduardo Perez | Psychologist | 350 Kresge Ln, Sparks, NV 89431-6435 | 2012-06-08 |
| 1063786275 | Nikia L Johnson | Psychologist | 350 Kresge Ln, Sparks, NV 89431-6435 | 2012-03-06 |
| 1770861353 | Monica C. Leyva | Psychologist | 350 Kresge Ln, Sparks, NV 89431-6435 | 2011-07-29 |
| 1710265772 | Abram Ray Minnitte | Psychologist | 350 Kresge Ln, Sparks, NV 89431-6435 | 2011-07-25 |
| 1467730507 | Andrew Granata | Psychologist | 350 Kresge Ln, Sparks, NV 89431-6435 | 2011-07-22 |
| 1790089563 | Jennifer Michelle Miron | Psychologist | 350 Kresge Ln, Sparks, NV 89431-6435 | 2011-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588153092 | Lauren Woodward | Case Manager/Care Coordinator | 1963 E Prater Way # 101, Sparks, NV 89434-8938 | 2018-05-09 |
| 1790154177 | Ashley Anna Richter | Case Manager/Care Coordinator | 905 Red Falcon Way, Sparks, NV 89441-8884 | 2015-09-16 |
| 1427394253 | Elizabeth Hudson | Case Manager/Care Coordinator | 5300 S Los Altos Pkwy, Apt 223, Sparks, NV 89436-2546 | 2012-12-26 |
| 1053886739 | Jessica Kate Ketz | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-10-09 |
| 1720563497 | Colleen Patricia Haesche | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-09-28 |
| 1447626189 | Charles Praksti | Case Manager/Care Coordinator | 480 Galletti Way, Bldg. 1, Sparks, NV 89431-5564 | 2015-08-17 |
| 1932543006 | Eric C Brown | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2013-04-19 |
| 1841540184 | Amy Caprari | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2012-09-13 |
| 1639429251 | Michelle Beaver | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2012-09-11 |
| 1821348442 | Sarah Hunter | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2012-09-11 |
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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.