TENNILLE GORDON (NPI# 1427581636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427581636 |
| Entity Type | Individual |
| Full Name | TENNILLE GORDON |
| Practice Address |
805 S Kirkman Rd 205 Orlando FL 32811-2200 |
| Practice Telephone | 4072450012 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MH14647 | FL | Agencies |
| Street Address |
805 S KIRKMAN RD 205 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32811-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629306550 | Blanca Daniela Arreaga | Chiropractor | 805 S Kirkman Rd, Suite 207, Orlando, FL 32811-2200 | 2009-12-04 |
| 1174062939 | Danniesha Psalms | Case Manager/Care Coordinator | 805 S Kirkman Rd, Ste 205, Orlando, FL 32811-2200 | 2017-02-13 |
| 1558809699 | Sherry Thomas | Case Manager/Care Coordinator | 805 S Kirkman Rd, Ste 205, Orlando, FL 32811-2200 | 2017-02-09 |
| 1497293716 | Robert Walker | Case Manager/Care Coordinator | 805 S Kirkman Rd, Ste 205, Orlando, FL 32811-2200 | 2017-02-07 |
| 1629516976 | Beatrice Hypolittle | Case Manager/Care Coordinator | 805 S Kirkman Rd, Ste 205, Orlando, FL 32811-2200 | 2017-02-07 |
| 1649725755 | Gwenda Cherelus | Case Manager/Care Coordinator | 805 S Kirkman Rd, 205, Orlando, FL 32811-2200 | 2016-08-18 |
| 1740734219 | Juandreca Powell | Case Manager/Care Coordinator | 805 S Kirkman Rd, 205, Orlando, FL 32811-2200 | 2016-08-12 |
| 1184044018 | Truth Revealed Counseling | Counselor | 805 S Kirkman Rd, Suite 207, Orlando, FL 32811-2200 | 2014-04-17 |
| 1821336330 | Dr. Koteuaisa Chiropractic, Inc | Chiropractor | 805 S Kirkman Rd, Suite 102, Orlando, FL 32811-2200 | 2013-01-18 |
| 1699025569 | Images of Glory, Inc | Case Management | 805 S Kirkman Rd, Suite 205, Orlando, FL 32811-2200 | 2012-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640168 | Carlo Lavern Shaw | Counselor | 6150 Metro West Blvd Suite 103, Orlando, FL 32811 | 2019-10-09 |
| 1639734791 | Malissa Brown | Home Health | 5208 Greenery Ct, Orlando, FL 32811 | 2019-05-04 |
| 1619431665 | Health Care Center for The Homeless Inc | Pharmacy | 4426 Old Winter Garden Rd, Orlando, FL 32811 | 2019-01-24 |
| 1649763178 | Marie Alexandra Senat I | Adult Companion | 640 Grandiflora Drive, Orlando, FL 32811 | 2018-06-09 |
| 1851893309 | Next Level Physiotherapy and Performance | Physical Therapist | 4700 Lb Mcleod Rd, Orlando, FL 32811 | 2018-03-01 |
| 1447798681 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4205 Sw 34th Street, Orlando, FL 32811 | 2017-02-08 |
| 1386054161 | Leondra Foster | Home Health | 4787 King Cole Blvd, Orlando, FL 32811 | 2014-05-02 |
| 1790115681 | Calvin Collins Jr. | Internal Medicine | 4403 Vineland Rd, Suite B5, Orlando, FL 32811 | 2013-11-14 |
| 1043514458 | Legacy V Medical | Durable Medical Equipment & Medical Supplies | 3113 Willie Mays Pkwy, Ste.1100-b, Orlando, FL 32811 | 2010-12-28 |
| 1477871440 | Rm Toussaint Md LLC | Surgery | 4600 S. Kirkman Road, # 218, Orlando, FL 32811 | 2010-05-14 |
| Find all providers in zip 32811 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314031 | Pleasant Behavioral Health Systems LLC | Community/Behavioral Health | 7200 Lake Ellenor Dr Ste 200, Orlando, FL 32809-6200 | 2020-10-21 |
| 1942819495 | Oasis Counseling Services | Community/Behavioral Health | 11954 Narcoossee Rd., Ste 2 #278, Orlando, FL 32832 | 2020-07-29 |
| 1770109480 | Victor Felix | Community/Behavioral Health | 8612 Venezia Dr Apt 2312, Orlando, FL 32810-2439 | 2020-06-18 |
| 1558986935 | One Hope United | Community/Behavioral Health | 5749 Westgate Dr Ste 302, Orlando, FL 32835-5040 | 2020-06-11 |
| 1205462041 | Vigor Health Plus II, LLC | Community/Behavioral Health | 3505 Lake Lynda Drive Bldg 300, Ste 200, Orlando, FL 32817-8333 | 2020-03-12 |
| 1235762154 | Complete Behavior Services, LLC | Community/Behavioral Health | 2034 Gamboge Dr, Orlando, FL 32822-8337 | 2020-02-19 |
| 1588214258 | Luc Bitjad | Community/Behavioral Health | 6021 Harcourt Ave, Orlando, FL 32809-4327 | 2019-09-16 |
| 1023668811 | Katartizo Inc | Community/Behavioral Health | 1414 Shady Lane Dr, Orlando, FL 32804-6138 | 2019-09-13 |
| 1760049464 | Right Away Management Services Inc | Community/Behavioral Health | 6750 N Orange Blossom Trl Ste B3, Orlando, FL 32810-4082 | 2019-05-29 |
| 1003472325 | Zuleishka Barreto | Community/Behavioral Health | 1765 Grand Pt Blvd, Orlando, FL 32839-5801 | 2019-05-13 |
| Find all providers in ORLANDO | ||||
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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.