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).
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 |
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 |
Street Address |
600 NORTH HIATUS ROAD SUITE 102 |
City | PEMBROKE PINES |
State | FL |
Zip Code | 33026 |
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 |
Find all providers in zip 33026 |
Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(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. |
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 |
City | PEMBROKE PINES |
Zip Code | 33026 |
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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.