COURTNEY MARIE GORDON (NPI# 1710110507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710110507 |
| Entity Type | Individual |
| Full Name | COURTNEY MARIE GORDON |
| Practice Address |
14 Gordon Way Rockville RI 02873-0176 |
| Mailing Address |
Po Box 176 Rockville RI 02873-0176 |
| Practice Telephone | 4015397813 |
| Mailing Telephone | 4015397813 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2009-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 04707 | RI | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312948 | Courtney Rae Gordon | Nurse Practitioner | 601 Highway 80 E, Clinton, MS 39056-5122 | 2020-07-05 |
| 1437501582 | Courtney Gordon | Registered Nurse | 455 W Montana St, Pasadena, CA 91103-1327 | 2016-07-12 |
| 1699916643 | Courtney Gordon | Nurse Practitioner | 3333 California St, Suite 380, San Francisco, CA 94118-1981 | 2009-03-19 |
| 1184863342 | Courtney Gordon | Physician Assistant | 3810 E Grand Ave, Laramie, WY 82070-5179 | 2009-02-11 |
| 1508066184 | Courtney Gordon | Marriage & Family Therapist | 303 Jackson Hill St, Houston, TX 77007-7407 | 2007-07-20 |
| Street Address |
14 GORDON WAY |
| City | ROCKVILLE |
| State | RI |
| Zip Code | 02873-0176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235381427 | Amy L. B. Micklich | Speech-Language Pathologist | 293 Spring St., Rockville, RI 02873-0069 | 2008-10-21 |
| 1497999361 | Amy Micklich Speech Language Pathology Services | Speech-Language Pathologist | 293 Spring St., Rockville, RI 02873-0069 | 2009-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608769 | Ellen Cook | Speech-Language Pathologist | The Hsc Outpatient Center, 14995 Shady Grove Rd Suite 200, Rockville, MD 20850-8727 | 2020-10-30 |
| 1477153427 | Rxwellness Spine & Health - Rockville LLC | Chiropractor | 15001 Shady Grove Rd Ste 140, Rockville, MD 20850-6354 | 2020-10-29 |
| 1598365520 | Sherene Rodriguez | Speech-Language Pathologist | 4709 Rams Head Ct, Rockville, MD 20853-1142 | 2020-10-28 |
| 1326648346 | Physician Imaging of Washington Hospital Center LLC | Radiology | 3202 Tower Oaks Blvd Ste 120, Rockville, MD 20852-4263 | 2020-10-28 |
| 1265032494 | Alicia Marie Jensen Townsend | Registered Nurse | 1359 Templeton Pl, Rockville, MD 20852-1432 | 2020-10-27 |
| 1588264865 | Marie Chiong | Registered Nurse | 824 Elmcroft Blvd, Rockville, MD 20850-5828 | 2020-10-27 |
| 1417557612 | Elizabeth Berends | Registered Nurse | 13515 Turkey Branch Pkwy, Rockville, MD 20853-3813 | 2020-10-27 |
| 1417555178 | Bethesda Acupuncture Wellness Clinic Inc. | Acupuncturist | 1803 Research Blvd Ste 220, Rockville, MD 20850-3155 | 2020-10-15 |
| 1851999551 | Physiotherapy Assoicates, Inc. | Clinic/Center | 11200 Rockville Pike Ste 240, Rockville, MD 20852-3154 | 2020-10-14 |
| 1851999106 | Thanhthao Hoang Le | Student in an Organized Health Care Education/Training Program | 5023 Adrian St, Rockville, MD 20853-3705 | 2020-10-09 |
| Find all providers in ROCKVILLE | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575069 | Ayoub Suliman | Pharmacist | 4426 Renn St, Rockville, MD 20853-2745 | 2020-07-10 |
| 1841819331 | Babak Sabouri | Pharmacist | 10729 Mist Haven Ter, Rockville, MD 20852-3438 | 2020-04-14 |
| 1013573732 | Ava Azari | Pharmacist | 406 Summer Garden Way, Rockville, MD 20850-2889 | 2019-05-17 |
| 1649750712 | Tenkang Ernest Tiendi | Pharmacist | 20 Upper Rock Cir, Rockville, MD 20850-4098 | 2018-08-17 |
| 1922594779 | Alice Jiang | Pharmacist | 5401 Mcgrath Blvd Apt 307, Rockville, MD 20852-8656 | 2018-07-05 |
| 1386197259 | Rahel Yohanis | Pharmacist | 12503 Village Square Ter Apt 402, Rockville, MD 20852-1956 | 2016-07-27 |
| 1568824613 | Ziad Haddad | Pharmacist | 414 Rutgers St, Rockville, MD 20850-1113 | 2016-03-27 |
| 1578952263 | Andrew Kwanhee Kim | Pharmacist | 11520 Rockville Pike, Rockville, MD 20852-2750 | 2015-01-18 |
| 1891199402 | Cvs/health | Pharmacist | 550 Azalea Dr, Rockville, MD 20850-2001 | 2014-10-11 |
| 1144621020 | Michael Mehrabiansani | Pharmacist | 206 Congressional Ln Apt 103, Rockville, MD 20852-1509 | 2014-09-10 |
| Find all providers in ROCKVILLE | ||||
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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.