MRS. KERRYROSE JOYCEANN GORDON


Address: 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026
Phone: 9544310540

MRS. KERRYROSE JOYCEANN GORDON (NPI# 1588024285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588024285
Entity Type Individual
Full Name MRS. KERRYROSE JOYCEANN GORDON
Credential A.R.N.P.
Practice Address 600 North Hiatus Road
Suite 102
Pembroke Pines
FL 33026
Mailing Address 7800 Sw 87th Avenue
Suite C-340
Miami
FL 33173
Practice Telephone 9544310540
Practice Fax Number 9544310520
Mailing Telephone 3055950109
Mailing Fax Number 3055957092
Enumeration Date 2016-02-24
Last Update Date 2017-07-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse ARNP9287130 FL Nursing Service Providers
Y 363L00000X Nurse Practitioner 9287130 FL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 600 NORTH HIATUS ROAD
SUITE 102
City PEMBROKE PINES
State FL
Zip Code 33026

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811488398 Nathanel A Shammay Student in an Organized Health Care Education/Training Program 11251 Renaissance Rd, Cooper City, FL 33026 2018-05-21
1245741313 Isabel C Gomez Behavior Technician 1300 St Charles Place, Pembroke Pines, FL 33026 2017-10-17
1376052233 Natalie Valentine Psychologist 11749 Nw 12th St, Pembroke Pines, FL 33026 2017-09-23
1285159178 Belkis Perez Optometrist 11605 Pines Blvd., Pembroke Pines, FL 33026 2017-08-11
1447792429 Merlin Abraham Physical Therapy Assistant 10794 Pines Blvd #104, Pembroke Pines, FL 33026 2016-11-08
1659745149 Grand Dialysis Services LLC Clinic/Center 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 2015-11-20
1992107999 Therapies 4 Kids, Inc. Clinic/Center 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 2014-09-22
1073940631 Lisa Margo Guertin Nurse Practitioner 10836 Morningstar Drive, Hollywood, FL 33026 2013-09-27
1881930865 Carol Elizabeth Farrell Speech-Language Pathologist 11704 Melaleuca Way, Cooper City, FL 33026 2012-12-20
1407100993 Sharon Cam Whitehorn Physician Assistant 500 N Hiatus Rd Ste 101, Pembroke Pines, FL 33026 2012-11-05
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619574845 Evelyn Ehiremhen Osakwe Nurse Practitioner 464 Sw 205th Ave, Pembroke Pines, FL 33029-5010 2020-10-01
1194332742 Ashley Killings Nurse Practitioner 9966 Nw 10th St, Pembroke Pines, FL 33024-4305 2020-09-28
1427679570 Novia Markes Nurse Practitioner 12389 Pembroke Rd, Pembroke Pines, FL 33025-1723 2020-04-29
1598302176 Sergelyne Desousces Nurse Practitioner 11882 Sw 16th St, Pembroke Pines, FL 33025-3796 2019-12-03
1548801574 Lauren Michelle Urquiza Nurse Practitioner 501 Nw 88th Ave, Pembroke Pines, FL 33024-6527 2019-10-01
1174095921 Knovano Salmon Nurse Practitioner 11970 Sw 12th St Bldg 109, Pembroke Pines, FL 33025-5723 2018-12-18
1427533868 Erick Benjamin Perez Nurse Practitioner 17626 Sw 10th St, Pembroke Pines, FL 33029-4845 2018-10-02
1154800233 Meirav Greenberg Nurse Practitioner 601 N Flamingo Rd Ste 411, Pembroke Pines, FL 33028-1012 2018-08-09
1215414115 Elizabeth Jose Nurse Practitioner 1810 Nw 125th Ter, Pembroke Pines, FL 33028-2551 2018-07-24
1275019192 Daphia Tachia Collins Nurse Practitioner 14627 Sw 5th St, Pembroke Pines, FL 33027-6113 2018-07-13
Find all providers in PEMBROKE PINES

Competitor

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City PEMBROKE PINES
Zip Code 33026

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Dataset Information

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.

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