ARIELLE SHOSHANNA GORDON (NPI# 1710401450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710401450 |
| Entity Type | Individual |
| Full Name | ARIELLE SHOSHANNA GORDON |
| Credential | FNP |
| Practice Address |
501 Se 172nd Ave Vancouver WA 98684-9542 |
| Mailing Address |
4975 Se Division St Apt 340 Portland OR 97206-1574 |
| Practice Telephone | 3608822778 |
| Mailing Telephone | 2169656786 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP60784263 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
501 SE 172ND AVE |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-9542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301277 | Jonathan R Sachs | Internal Medicine | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2005-07-28 |
| 1265088157 | Kalis J Kim | Nurse Practitioner | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2019-08-15 |
| 1225587710 | Gina Mckenzie | Nurse Practitioner | 501 Se 172nd Ave, Vancouver, WA 98684 | 2016-09-26 |
| 1588112056 | Amy Nichole Ryll | Nurse Practitioner | 501 Se 172nd Ave, Vancouver, WA 98684 | 2016-09-14 |
| 1336507326 | Amanda Rae Levchuk | Registered Nurse | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2016-02-04 |
| 1356720445 | Cole Southworth | Internal Medicine | 501 Se 172nd Ave, Vancouver, WA 98684 | 2015-05-22 |
| 1952794372 | Stephen J Ahearn | Registered Nurse | 501 Se 172nd Ave, Vancouver, WA 98684 | 2015-03-09 |
| 1427450626 | Allison Lorenzi | Nurse Practitioner | 501 Se 172nd Ave, Suite 140, Vancouver, WA 98684 | 2014-09-18 |
| 1356776421 | Kimberly Drynan | Nurse Practitioner | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2013-09-09 |
| 1114369519 | Judith Annette Richardson | Pharmacist | 501 Se 172nd Ave, Vancouver, WA 98684-9542 | 2013-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740674530 | Nicole Lara | Nurse Practitioner | 650 N Devine Rd, Suite B, Vancouver, WA 98661-6979 | 2015-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802675 | Michelle Ann Rorie | Nurse Practitioner | 1100 Villanova St Ne, Olympia, WA 98516-5454 | 2020-08-22 |
| 1174132294 | Heather Catherine Pounds | Nurse Practitioner | 4222 Robin Rd W, University Place, WA 98466-1536 | 2020-07-24 |
| 1801410675 | Mi Thi Trieu Tran | Nurse Practitioner | 24611 116th Ave Se, Kent, WA 98030-4939 | 2020-06-08 |
| 1609409085 | Kris Dee Chatman | Nurse Practitioner | 1628 S Mildred St Ste 105, Tacoma, WA 98465-1628 | 2020-02-13 |
| 1912547365 | Thomas Lee Etherton | Nurse Practitioner | 4425 Cole Ct Se, Olympia, WA 98501-4474 | 2020-01-14 |
| 1306489760 | Nikolaus V Voswinkel | Nurse Practitioner | 1420 Terry Ave Unit 202, Seattle, WA 98101-1981 | 2019-10-17 |
| 1518509520 | Sasha Rose Jensen | Nurse Practitioner | 460 West G Street, Forks, WA 98331 | 2019-10-10 |
| 1306487772 | Harmony Kroll | Nurse Practitioner | 23475 225th Way Se, Ste 201, Maple Valley, WA 98038-5294 | 2019-10-07 |
| 1932751658 | Lesly Marie Dosono Barcena | Nurse Practitioner | 6700 Roosevelt Way Ne Apt A211, Seattle, WA 98115-6642 | 2019-07-12 |
| 1912568205 | Andrea Lyn Fellman | Nurse Practitioner | Ideal Option Clinic 328 South Stillaguamish Ave, Arlington, WA 98223-1660 | 2019-06-26 |
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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.