KIMBERLY GORDON (NPI# 1427590926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427590926 |
Entity Type | Individual |
Full Name | KIMBERLY GORDON |
Credential | PMHNP |
Practice Address |
4225 Woods Pl Bldg 2 Abilene TX 79602-7991 |
Practice Telephone | 3256910030 |
Mailing Telephone | 3256910030 |
Enumeration Date | 2016-11-15 |
Last Update Date | 2020-02-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP132586 | TX | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
1245407709 | Kimberly Rochelle Gordon | Specialist/Technologist, Other | 3002 Gill St Ste 3, Bloomington, IL 61704-3438 | 2008-05-14 |
1679131676 | Kimberly E Gordon | Behavioral Analyst | 1003 Hugh Wallis Rd S, Lafayette, LA 70508-2528 | 2019-06-04 |
1649767989 | Kimberly Gordon | Behavior Technician | 8019 Ne 13th Ave, Vancouver, WA 98665-9604 | 2018-04-20 |
1396266904 | Kimberly T Gordon | Counselor | 810 Classon Ave, Brooklyn, NY 11238-6102 | 2017-07-05 |
1073974721 | Kimberly Marie Gordon | Licensed Practical Nurse | 7 Seafield Ln, Westhampton Beach, NY 11978-2714 | 2016-03-09 |
1134500473 | Kimberly Allison Gordon | Pharmacist | 1550 Gateway Blvd, Fairfield, CA 94533-6901 | 2015-06-12 |
1316338221 | Kimberly Gordon | Registered Nurse | 31 Hosier St, Selbyville, DE 19975 | 2015-02-13 |
1952742660 | Kimberly Beth Gordon | Physician Assistant | 1101 Sam Perry Blvd, Tompkins Martin Medical Plaza Suite 221, Fredericksburg, VA 22401-4467 | 2013-07-10 |
1184999880 | Kimberly Anne Gordon | Counselor | 60 Merrimack St, Haverhill, MA 01830-6207 | 2012-03-13 |
Street Address |
4225 WOODS PL BLDG 2 |
City | ABILENE |
State | TX |
Zip Code | 79602-7991 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598815185 | Jeannie Margurite Sorgen | Nurse Practitioner | 4225 Woods Pl Bldg 2, Abilene, TX 79602-7991 | 2007-01-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285138206 | Connie Y Benfield Phd Pllc | Psychologist | 100 Chestnut St Ste 112, Abilene, TX 79602 | 2018-03-23 |
1356891931 | Op Operations IIi, LLC | Skilled Nursing Facility | 1201 Clarks Drive, Abilene, TX 79602 | 2016-10-07 |
1225400112 | Sabrina Roxanne Elliott | Midwife | 1233 Nottingham Rd, Abilene, TX 79602 | 2015-10-30 |
1447678859 | Ryan Hebert | Private Vehicle | 290 East Ammo Rd, Dyess Afb, TX 79602 | 2014-04-02 |
1083922009 | Catherine R Lenhert | Counselor | 1111 Industrial Blvd #2, Abilene, TX 79602 | 2010-09-24 |
1598077828 | Edwyna Ann Watson | Counselor | 1500 Industrial Blvd. Suite 220, Lighthouse Counseling, Abilene, TX 79602 | 2010-07-01 |
1891912614 | Murriell M Dorden-gerardo | Lodging | 6981 Maple Street, Abilene, TX 79602 | 2007-04-20 |
1588721898 | Frances Martin Wiman | Counselor | 111 Industrial Blvd, Bldg 2, Abilene, TX 79602 | 2007-01-03 |
1982779682 | Patsy Joann Massey | Counselor | 1219 E S 11th, Ste A Freedom Counseling Center, Abilene, TX 79602 | 2006-11-21 |
1811094386 | Imran A Yazdani | Internal Medicine | 4225 Woods Place, Abilene, TX 79602 | 2006-09-19 |
Find all providers in zip 79602 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639713639 | Trenton James Schmidt | Nurse Practitioner | 511 Ne 10th, Abilene, KS 67410 | 2019-11-01 |
1598815185 | Jeannie Margurite Sorgen | Nurse Practitioner | 4225 Woods Pl Bldg 2, Abilene, TX 79602-7991 | 2007-01-12 |
1841274941 | Susan Katherine Crosby | Nurse Practitioner | 2626 S Clack St, Abilene, TX 79606 | 2005-12-01 |
1477161164 | Princess Dashae Eghianruwa | Nurse Practitioner | 4225 Woods Pl, Abilene, TX 79602-7991 | 2020-07-19 |
1326688599 | Harriet Roberts | Nurse Practitioner | 2626 S Clack St, Abilene, TX 79606-1557 | 2020-01-15 |
1558901397 | Ashley Shuzhu He Rinicker | Nurse Practitioner | 1 Village Dr Ste 350, Abilene, TX 79606-8231 | 2020-01-09 |
1679084610 | Folasade Olufunmilola Olayiwole | Nurse Practitioner | 1111 Industrial Blvd, Abilene, TX 79602-7929 | 2017-10-17 |
1306195912 | Stephen Milstead | Nurse Practitioner | 1111 Industrial Blvd, Bldg #2, Abilene, TX 79602-7929 | 2012-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215537857 | Julius Abam | Nurse Practitioner | 634 Rustic Trl, Midlothian, TX 76065-2267 | 2020-10-30 |
1750981619 | Suvekchya Subedi | Nurse Practitioner | 4032 Vista Mar Drive, Euless, TX 76040 | 2020-10-29 |
1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
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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.