JENNIFER GORDON (NPI# 1437112034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437112034 |
| Entity Type | Individual |
| Full Name | JENNIFER GORDON |
| Credential | ATC |
| Practice Address |
2502 Derby Dr Fallston MD 21047-1208 |
| Practice Telephone | 4104567115 |
| Mailing Telephone | 4104567115 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2014-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A0000198 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366052581 | Jennifer Lynn Gordon | Technician | 142 Argyle St, Keyser, WV 26726-3329 | 2020-08-03 |
| 1093969842 | Jennifer Marie Gordon | Case Manager/Care Coordinator | 322 N Shore Dr Ste 200, Pittsburgh, PA 15212-5875 | 2008-11-06 |
| 1093979064 | Jennifer Lynn Gordon | Registered Nurse | 516 1/2 Cleveland Blvd, Fayetteville, NY 13066-1110 | 2008-07-17 |
| 1831386101 | Jennifer Ann Gordon | Emergency Medicine | 638 Columbus Ave, New York, NY 10024-1406 | 2007-10-01 |
| 1831241777 | Jennifer Leigh Gordon | Physical Therapist | 17066 Hwy 3, Webster, TX 77598 | 2007-01-18 |
| 1699877464 | Jennifer L. Gordon | Dentist | 1181 Central Blvd Ste E, Brentwood, CA 94513-2252 | 2006-09-02 |
| 1487615027 | Jennifer Gordon | Physical Therapist | 14999 Health Center Dr Ste 201, Bowie, MD 20716-1087 | 2006-03-31 |
| 1932182912 | Jennifer Gordon | Psychologist | 1639 E 19th Ave, Eugene, OR 97403-1902 | 2005-11-23 |
| 1427667864 | Jennifer Julien Gordon | Occupational Therapist | 3767 Delaware Ave, Kenmore, NY 14217-1040 | 2020-07-30 |
| 1023588472 | Jennifer Ryan Gordon | Student in an Organized Health Care Education/Training Program | 953 Danby Rd, Ithaca, NY 14850-7000 | 2018-11-28 |
| Street Address |
2502 DERBY DR |
| City | FALLSTON |
| State | MD |
| Zip Code | 21047-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316583750 | Alfred Tetteh | Nurse Practitioner | Choiceone Urgent Care-fallston, 2315 Belair Road Suite C1, Fallston, MD 21047 | 2019-11-20 |
| 1184148009 | Walgreen Co | Pharmacy | 2101 Fallston Rd, Fallston, MD 21047 | 2017-08-02 |
| 1871999276 | Bergand Group | Psychiatry & Neurology | 1803 Harford Rd, Fallston, MD 21047 | 2014-11-12 |
| 1407122716 | Wendy Peckinpaugh | Registered Nurse | 2517 Hess Road, Fallston, MD 21047 | 2012-03-30 |
| 1114244829 | Ann-louise Hardesty | Social Worker | 1716 Harford Road Suite 204, Kilgalen Associates, Fallston, MD 21047 | 2010-04-21 |
| 1255458659 | Fallston Volunteer Fire & Ambulance Company, Inc. | Ambulance | 2201 Carrs Mill Rd, Fallston, MD 21047 | 2007-03-23 |
| 1740329283 | Salvacion Garin Lazatin | General Practice | 2412 Baldwin Mill Rd, Fallston, MD 21047 | 2007-02-05 |
| 1508915059 | William Michael Kenney | Dentist | 209 Mountain Rd, Fallston, MD 21047 | 2007-01-10 |
| 1902964844 | Janet Sue Neer | Social Worker | 1716 Harford Rd Suite 204, Kilgalen Associates, Fallston, MD 21047 | 2006-12-04 |
| 1275628265 | Allen E Silver Md Pa | Ophthalmology | 1809 Connolly Rd, Fallston, MD 21047 | 2006-10-04 |
| Find all providers in zip 21047 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659807436 | Chelsea Klein | Specialist/Technologist | 1905 Coachman Ct, Fallston, MD 21047-1652 | 2017-05-11 |
| 1760939136 | Jordan Ann Wagner | Specialist/Technologist | 3351 Fallston Rd, Fallston, MD 21047-1020 | 2016-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253928 | Haleemah Muhaymin | Specialist/Technologist | 4701 Cedar Ct, Beltsville, MD 20705-2849 | 2020-10-24 |
| 1093328775 | Meghan Rose Pugh | Specialist/Technologist | 411 Penwood Dr, Edgewater, MD 21037-3441 | 2020-08-24 |
| 1023620978 | Tyler Francis Miller | Specialist/Technologist | 103 Cara Cove Rd, North East, MD 21901-5405 | 2020-08-21 |
| 1598376238 | Jessica Henslee | Specialist/Technologist | 8500 Paint Branch Dr, College Park, MD 20742-0001 | 2020-08-16 |
| 1164031811 | Deshanae Michelle Meaders | Specialist/Technologist | 2742 Lorring Dr Apt 204, District Heights, MD 20747-3434 | 2020-07-29 |
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1871118810 | Jordyn Milan Brown | Specialist/Technologist | 9 Lee Airpark Dr # 400, Edgewater, MD 21037-1229 | 2020-06-16 |
| 1184249567 | Kirsten Helman | Specialist/Technologist | 23327 Ringgold Pike, Smithsburg, MD 21783-1114 | 2020-06-11 |
| 1902428188 | Dwanye D Molock | Specialist/Technologist | 11550 Crossroads Cir Unit 649, Middle River, MD 21220-2994 | 2020-05-11 |
| 1154942043 | Alysia Frances Henderson | Specialist/Technologist | 7675 Baltimore Avenue, Ritchie Coliseum 0100, College Park, MD 21144 | 2020-05-01 |
| Find all providers with the same taxonomy | ||||
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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.