MRS. JESSICA M GORDON (NPI# 1518359736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518359736 |
Entity Type | Individual |
Full Name | MRS. JESSICA M GORDON |
Practice Address |
4703 Highwood Dr Fort Wayne IN 46815-6067 |
Practice Telephone | 2607973604 |
Mailing Telephone | 2607973604 |
Enumeration Date | 2015-02-25 |
Last Update Date | 2015-02-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 347C00000X | Private Vehicle | 0501147343 | IN | Transportation Services |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457876484 | Jessica Gordon | Spec/Tech, Pathology | 701 Buckingham Dr, Sturgis, MI 49091-9022 | 2017-08-10 |
1972054948 | Jessica Gordon | Registered Nurse | 431 7th Ave S, Apt D, Kirkland, WA 98033-6685 | 2016-10-14 |
1639422785 | Jessica R Gordon | Behavioral Analyst | 9777 N Council Rd Apt 1235, Oklahoma City, OK 73162-5555 | 2012-10-25 |
1932456514 | Jessica Gordon | Physical Therapist | 14443 75th Rd, Fl 3, Flushing, NY 11367-2416 | 2012-08-13 |
1700174067 | Jessica Sara Gordon | Psychologist | 301 E 63rd St, Apt 9g, New York, NY 10065-7721 | 2011-07-20 |
1184232928 | Jessica Gordon | Social Worker | 990 Villa St, Mountain View, CA 94041-1236 | 2020-07-17 |
1265994206 | Jessica Elizabeth Gordon | Counselor | 1717 N High St, Lansing, MI 48906-4597 | 2019-04-01 |
1871060939 | Jessica Ann Gordon | Nurse Practitioner | 6801 Emmett F Lowry Expy, Texas City, TX 77591-2500 | 2018-10-26 |
1265926125 | Jessica R Gordon | Case Manager/Care Coordinator | 801 E Washington St Ste 150, Medina, OH 44256-3336 | 2018-06-14 |
1780126789 | Jessica Buechner Gordon | Registered Nurse | 6621 Fannin St, Houston, TX 77030-2358 | 2016-11-08 |
Street Address |
4703 HIGHWOOD DR |
City | FORT WAYNE |
State | IN |
Zip Code | 46815-6067 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306305438 | Sullivan Services, Inc. | In Home Supportive Care | 2789-b Maplecrest Rd, Fort Wayne, IN 46815 | 2019-03-18 |
1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
1881000222 | Denise Sparks | Specialist | 6415 Benham Drive, Fort Wayne, IN 46815 | 2014-07-07 |
1962823138 | Chad Distelrath | Physical Therapy Assistant | 1717 Maplecrest Rd, Apt 112, Fort Wayne, IN 46815 | 2013-12-13 |
1689943409 | Kendall Joan Labrash | Physical Therapist | 4251 Lahmeyer Rd., Fort Wayne, IN 46815 | 2011-12-22 |
1801179718 | Jayson Laube | Pharmacist | 6201 Stellhorn, Fort Wayne, IN 46815 | 2011-09-27 |
1720294432 | Muscle Therapy Clinic LLC | Massage Therapist | 6409 Georgetown North Blvd, Fort Wayne, IN 46815 | 2007-05-16 |
1427186436 | Legoras Conture Fashions | Prosthetic/Orthotic Supplier | 3316 Inwood Drive, Fort Wayne, IN 46815 | 2007-03-01 |
1932252772 | Fort Wayne Smiles PC | Dentist | 2031 Reed Road, Fort Wayne, IN 46815 | 2007-01-18 |
1811078538 | Timothy Doody Lynch | Dentist | 4207 Hobson Court, Fort Wayne, IN 46815 | 2006-10-18 |
Find all providers in zip 46815 |
Taxonomy Code | 347C00000X |
Grouping | Transportation Services |
Classification | Private Vehicle |
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033621271 | Julie Mcgill | Private Vehicle | 3105 Beacon St, Fort Wayne, IN 46805-2447 | 2017-10-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326676024 | Kristine Willoughby | Private Vehicle | 505 S 25th St, South Bend, IN 46615-2117 | 2020-03-29 |
1922648385 | Next Journey Homecare LLC | Private Vehicle | 708 Georgia St, Gary, IN 46402-2613 | 2020-01-13 |
1467003095 | Connected Residential Consulting LLC | Private Vehicle | 429 East Vermont Street, Suite 013, Indianapolis, IN 46202-3698 | 2019-09-25 |
1376004812 | Kellen Mclaughlin | Private Vehicle | 715 Hollywood Ct, Whiting, IN 46394-1829 | 2019-03-27 |
1962974097 | Donovan Pettiford | Private Vehicle | 6128 Morning Dove Dr, Indianapolis, IN 46228-1097 | 2018-12-31 |
1023586245 | Erica Lucretia Fowler | Private Vehicle | 1317 W Delaware St, Evansville, IN 47710-1435 | 2018-11-06 |
1902316870 | Transfiguration Enterprises, LLC | Private Vehicle | 608 E 22nd St, Indianapolis, IN 46202-1632 | 2017-10-05 |
1790223253 | Jsr Transportation | Private Vehicle | 3016 Breakwater Dr, Suite D, Indianapolis, IN 46214-1745 | 2017-02-05 |
1841732997 | Megan Clark | Private Vehicle | 224 N East St, Lebanon, IN 46052-2224 | 2016-11-07 |
1477003507 | Jacquelyn Brewer | Private Vehicle | 9645 Westfield Blvd, Indianapolis, IN 46280-1771 | 2016-10-13 |
Find all providers with the same taxonomy |
City | FORT WAYNE |
Zip Code | 46815 |
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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.