JENISSA DAWN GORDON (NPI# 1427683424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427683424 |
| Entity Type | Individual |
| Full Name | JENISSA DAWN GORDON |
| Credential | RD |
| Practice Address |
1001 Johnson Ferry Rd Atlanta GA 30342-1605 |
| Mailing Address |
113 Paradise Marsh Cir Brunswick GA 31525-2139 |
| Practice Telephone | 4047855247 |
| Mailing Telephone | 9125778510 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD005226 | GA | Dietary & Nutritional Service Providers |
| Street Address |
1001 JOHNSON FERRY RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174572366 | Floyd W Reifein | Anesthesiology | 1001 Johnson Ferry Rd, Scottish Rite Dept of Anes, Atlanta, GA 30342 | 2006-05-08 |
| 1104423136 | Megan Childs | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-10-02 |
| 1861008393 | Brian Christopher Thompson | Student in an Organized Health Care Education/Training Program | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-09-21 |
| 1538785530 | Elizabeth Nell Cochran | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-06-25 |
| 1952926008 | Jacqueline Erin Pearson | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-06-15 |
| 1497387443 | Brianne Rebekah Mosley | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2020-02-07 |
| 1689219388 | Marina Tarabicos | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2019-11-18 |
| 1821630971 | Stephanie Mcintosh Junior | Registered Nurse | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2019-10-10 |
| 1144876574 | Taylor Lee Gutwillig | Anesthesiologist Assistant | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2019-08-12 |
| 1225681489 | Paula W Friedman | Nurse Practitioner | 1001 Johnson Ferry Rd, Atlanta, GA 30342-1605 | 2019-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425107 | Gabriella Schloss | Dietitian, Registered | 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 | 2020-10-21 |
| 1033716774 | Shannon Busby Bagga | Dietitian, Registered | 1806 Dekalb Ave Ne, Atlanta, GA 30307 | 2020-10-06 |
| 1881291532 | Noelle Yaeger Oleary | Dietitian, Registered | 2591 Birchwood Dr Ne, Atlanta, GA 30305-3819 | 2020-10-06 |
| 1215544937 | Chelsi Brown | Dietitian, Registered | 1303 Hill St Se, Atlanta, GA 30315-2407 | 2020-09-27 |
| 1770190498 | Susana Nicole Morphis | Dietitian, Registered | 379 Pine Tree Dr Ne, Atlanta, GA 30305-3414 | 2020-09-27 |
| 1538775960 | Laura Lane Brown | Dietitian, Registered | 2042 Chastain Park Ct Ne, Atlanta, GA 30342-3235 | 2020-09-21 |
| 1689285108 | Negin Navaei | Dietitian, Registered | 155 Smithdun Ln, Atlanta, GA 30350-4111 | 2020-08-10 |
| 1740899517 | Wholesome Fuel, LLC | Dietitian, Registered | 985 Ponce De Leon Ave Ne Unit 310, Atlanta, GA 30306-4278 | 2020-07-28 |
| 1174158919 | Marianella Anzola | Dietitian, Registered | Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 | 2020-03-11 |
| 1386279487 | Luisa Hammett | Dietitian, Registered | 993d Johnson Fy Rd Ne # 440, Atlanta, GA 30342-1602 | 2020-03-09 |
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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.