GREGORY GORDEN (NPI# 1689150286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689150286 |
| Entity Type | Individual |
| Full Name | GREGORY GORDEN |
| Practice Address |
6100 N Keystone Ave Ste 420 Indianapolis IN 46220-2892 |
| Mailing Address |
6708 E 43rd Pl Indianapolis IN 46226-3676 |
| Practice Telephone | 3172964914 |
| Practice Fax Number | 3177130177 |
| Mailing Telephone | 3177303130 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
6100 N KEYSTONE AVE STE 420 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-2892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174017990 | Karen Jean Jones | Case Manager/Care Coordinator | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2018-06-15 |
| 1598381899 | Robin Allen | Counselor | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2020-06-22 |
| 1407480007 | Jordan Dora Berty | Social Worker | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2020-02-24 |
| 1396377644 | Tim Austin | Case Manager/Care Coordinator | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2020-02-05 |
| 1235773581 | Keaton Presti-stringfellow | Social Worker | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2019-10-30 |
| 1043861461 | Mary Corbett Cain | Counselor | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2019-09-26 |
| 1376006312 | Kristin Abeel | Social Worker | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2019-04-08 |
| 1093200438 | Andrew Long | Case Manager/Care Coordinator | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2018-06-27 |
| 1720572944 | Christine M. O'hara | Case Manager/Care Coordinator | 6100 N Keystone Ave Ste 420, Indianapolis, IN 46220-2892 | 2018-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351884 | Phx Mymed Health Access Solutions | Case Manager/Care Coordinator | 5777 N. Post Road, Indianapolis, IN 46216-2007 | 2019-11-27 |
| 1407409105 | Jeramie Davis | Case Manager/Care Coordinator | 2829 Greenview Way, Indianapolis, IN 46229-1500 | 2019-07-22 |
| 1174087894 | Cross Resource & Consulting LLC | Case Manager/Care Coordinator | 4716 Round Lake Rd Apt H, Indianapolis, IN 46205-2386 | 2019-01-27 |
| 1033688296 | Khulekani Mangozhe | Case Manager/Care Coordinator | 2410 Executive Dr Ste 201, Indianapolis, IN 46241-5000 | 2018-11-17 |
| 1356818744 | Christa R Henderson | Case Manager/Care Coordinator | 6301 Old Barn Ct, Indianapolis, IN 46268-4045 | 2018-10-24 |
| 1164999546 | Dominique Stuart | Case Manager/Care Coordinator | 2410 Executive Dr, Indianapolis, IN 46241-5045 | 2018-10-24 |
| 1457826513 | Christal Redd | Case Manager/Care Coordinator | 2819 Lambdin Ct, Indianapolis, IN 46268-5090 | 2018-10-04 |
| 1740765726 | Kimberly Sue Davis | Case Manager/Care Coordinator | 3171 N Meridian St Fl 2, Indianapolis, IN 46208-4784 | 2018-09-26 |
| 1720567712 | Monica M Lawrence | Case Manager/Care Coordinator | 924 Ardsley Dr, Indianapolis, IN 46234-2140 | 2018-08-09 |
| 1447737168 | Damon Lowell Hicks | Case Manager/Care Coordinator | 6342 Saint Jean Dr, Indianapolis, IN 46217-3859 | 2018-07-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on GREGORY GORDEN.
| 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.