KELSEY GORDON (NPI# 1639359912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639359912 |
Entity Type | Individual |
Full Name | KELSEY GORDON |
Practice Address |
2450 Riverside Ave Minneapolis MN 55454-1450 |
Mailing Address |
13225 45th Ave N Plymouth MN 55442-2342 |
Practice Telephone | 6126726000 |
Enumeration Date | 2007-11-05 |
Last Update Date | 2007-11-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912548462 | Kelsey Y Gordon | Counselor | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2019-10-07 |
1326575374 | Kelsey Gordon | Behavior Technician | 10 Gill St Ste J, Woburn, MA 01801-1721 | 2017-05-20 |
1043768831 | Kelsey Gordon | Social Worker | 79 W Alexandrine St, Detroit, MI 48201 | 2016-09-21 |
Street Address |
2450 RIVERSIDE AVE |
City | MINNEAPOLIS |
State | MN |
Zip Code | 55454-1450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568462570 | Sreejaya Veluvali | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2005-08-01 |
1588265375 | Fairview Health Services | General Acute Care Hospital | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-11-06 |
1215535927 | Katrina Joelle Christian | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Department of Pediatrics, 6 East Building, Minneapolis, MN 55454-5510 | 2020-10-14 |
1023616208 | Jodi Renee Nelson | Psychologist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-11 |
1912504150 | Pamela Norling | Counselor | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-01 |
1225635345 | Trevor Ryan Goldsmith | Nurse Anesthetist, Certified Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-10-01 |
1215534342 | Michelle L White | Marriage & Family Therapist | 2450 Riverside Ave, Attn: Adult Cd Lodging Plus, Minneapolis, MN 55454-1450 | 2020-10-01 |
1295341048 | Tobias Zander Donlon | Student in an Organized Health Care Education/Training Program | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-09-17 |
1417562497 | Megan Farr | Dietitian, Registered | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-09-15 |
1871101238 | Fairview Express Care | General Practice | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2020-07-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194341842 | Bruce Zhang | Student in an Organized Health Care Education/Training Program | 606 24th Ave. S. Suite 200, Minneapolis, MN 55454 | 2020-06-18 |
1205456738 | Sara Segner | Student in an Organized Health Care Education/Training Program | Peds Education Office M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-24 |
1417576844 | Sabena Khan | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building. 2450 Riverside Avenue, Minneapolis, MN 55454 | 2020-04-15 |
1811525983 | Kayla Joy Solstad | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Bldg., 2450 Riverside Ave, Minneapolis, MN 55454 | 2020-04-01 |
1720647126 | Lauren Harasymiw | Student in an Organized Health Care Education/Training Program | Pediatrics Ed. Office, M136, 1st Floor, East Building, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-06-10 |
1689237448 | Katelyn Marie Adams | Student in an Organized Health Care Education/Training Program | Pediatrics Education Office, M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-17 |
1285197848 | Adrienne Bruder | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building, 8950a, 2450 Riverside Ave, Minneapolis, MN 55454 | 2019-04-10 |
1588142855 | Stewart Graeme Morrison | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics University of Minnesota, 2450 Riverside Ave R200, Minneapolis, MN 55454 | 2018-07-30 |
1831682251 | Sherab Tsheringla | Student in an Organized Health Care Education/Training Program | 2450 Riverside Avenue South, Minneapolis, MN 55454 | 2018-06-11 |
1669962148 | Pooja Elizabeth Mishra | Student in an Organized Health Care Education/Training Program | M136, 1st Floor, East Building 8950a (campus Delivery C, 2450 Riverside Ave, Minneapolis, MN 55454 | 2018-05-10 |
Find all providers in zip 55454 |
Taxonomy Code | 225400000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Rehabilitation Practitioner |
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063881472 | Stephanie Kiess | Rehabilitation Practitioner | 1900 Chicago Ave, Minneapolis, MN 55404-1903 | 2015-09-16 |
1780965871 | Kate Louise Jahnke | Rehabilitation Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2011-09-01 |
1548541857 | Kristina L Pederson | Rehabilitation Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2011-08-31 |
1033344601 | Chad D Schwartz | Rehabilitation Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2009-05-26 |
1336396365 | Carrie Kelley | Rehabilitation Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2008-08-21 |
1841446887 | Erika Parker | Rehabilitation Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2008-08-11 |
1093979502 | Kari L Ciavarella Jesch | Rehabilitation Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2008-07-14 |
1992964084 | Clarice M Krengel | Rehabilitation Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2008-06-04 |
1407037070 | Adrienne Joyce Ranney | Rehabilitation Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2007-11-23 |
1295924090 | Anna Erika Isabel Myrgren | Rehabilitation Practitioner | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2007-10-17 |
Find all providers in MINNEAPOLIS |
City | MINNEAPOLIS |
Zip Code | 55454 |
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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.