TARA GORDON (NPI# 1760937163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760937163 |
| Entity Type | Individual |
| Full Name | TARA GORDON |
| Practice Address |
2400 Union Ave Suite 400 Memphis TN 38112-4318 |
| Mailing Address |
8577 S Trinity Park Dr Olive Branch MS 38654-6415 |
| Practice Telephone | 6629020391 |
| Mailing Telephone | 6629020391 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2016-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
000543136 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760981997 | Tara L Gordon | Nurse Practitioner | 12403 Altamira St, Austin, TX 78748-4038 | 2018-02-02 |
| 1578033866 | Tara Pitre Gordon | Case Manager/Care Coordinator | 123 Church Street, Grand Couteau, LA 70541 | 2018-11-28 |
| 1326595661 | Tara Gordon | Speech-Language Pathologist | 185 1st Ave, New York, NY 10003-2907 | 2016-09-02 |
| 1962746131 | Tara Gordon | Social Worker | 90 N 31st St, Clinton, OK 73601-9116 | 2012-11-12 |
| 1962552661 | Tara Ann Gordon | Physician Assistant | 1485 N Turquoise Dr, Suite 200, Flagstaff, AZ 86001-1398 | 2007-01-12 |
| Street Address |
2400 UNION AVE SUITE 400 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38112-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
| 1457688798 | Ethan Martin Langston | Counselor | 2714 Union Extended, Suite 400, Memphis, TN 38112 | 2009-11-06 |
| 1033345756 | Marquita Lachelle Little | Counselor | 2714 Union Avenue Extension, Suite 400, Memphis, TN 38112 | 2009-06-09 |
| 1366689481 | Open Hand Trans | Non-emergency Medical Transport (VAN) | 2600 Poplar Avenue 325, Memphis, TN 38112 | 2009-01-12 |
| 1952562696 | Christ Community Health Services Inc | Clinic/Center | 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 | 2008-06-24 |
| 1013117225 | Yolanda Anthony-west | Dentist | 1045 Mullins Station Road, Memphis, TN 38112 | 2007-07-25 |
| 1083754634 | Trillium Womancare LLC | Advanced Practice Midwife | 2610 Autumn Avenue, Memphis, TN 38112 | 2007-02-06 |
| 1013066596 | Health Tech Affiliates | Counselor | 2670 Union Extended, Suite 610, Memphis, TN 38112 | 2007-01-10 |
| 1730238320 | James Matthew Doyle | Counselor | 2670 Union Extd Suite 610, Concern Eap, Memphis, TN 38112 | 2007-01-10 |
| 1619025087 | Nancy Whitman Manire | Social Worker | 2670 Union Ext, Suite 610, Memphis, TN 38112 | 2007-01-08 |
| Find all providers in zip 38112 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101998 | Artriel Lynece Brown | Counselor | 4246 Appian Dr, Memphis, TN 38128-1497 | 2020-07-15 |
| 1265096473 | Lillian Kelly Mccranie | Counselor | 4421 Knight Arnold Rd, Memphis, TN 38118-2952 | 2019-04-24 |
| 1396221859 | Beatrice Settles Banks | Counselor | 3068 Covington Pike Ste 5, Memphis, TN 38128-5001 | 2018-07-17 |
| 1629565783 | Dayciaa Mccondichie | Counselor | 3393 Kirby Rd Apt 105, Memphis, TN 38115-4224 | 2018-04-15 |
| 1649791393 | Vachenzia Mcgraw-mckinney | Counselor | 3750 Hacks Cross Rd Ste 102-218, Memphis, TN 38125-2367 | 2017-07-03 |
| 1205263381 | Christine Denise Lewis | Counselor | 8295 Tournament Dr Ste 150, Memphis, TN 38125-8900 | 2013-10-03 |
| 1609100734 | Mary Delois Wright | Counselor | 3455 Rebeh Rd, Memphis, TN 38109-3433 | 2009-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831609379 | Republic Schools Nashville | Counselor | 3307 Brick Church Pike, Nashville, TN 37207-2301 | 2017-10-11 |
| 1467996819 | Melissa Moyen | Counselor | 1340 Brown Ave Nw, Cleveland, TN 37311-1868 | 2016-12-05 |
| 1588014302 | Stephen Sawyer | Counselor | 705 Braidwood Dr, Nashville, TN 37214-3201 | 2016-06-14 |
| 1457719213 | Chasity Henson | Counselor | 1098 Gateview Dr, Portland, TN 37148-2166 | 2016-02-08 |
| 1124493697 | Jennifer Stroud | Counselor | 273 Big Station Camp Blvd, 30-206, Gallatin, TN 37066 | 2015-12-09 |
| 1003298639 | Jeanetta Clark | Counselor | 1803 N. Jackson St, Centerstone of Tennessee, Tullahoma, TN 37388 | 2015-06-19 |
| 1881076511 | Tiffany Lynn Wade | Counselor | 1801 Memorial Cir., Clarksville, TN 37043 | 2015-06-18 |
| 1700127396 | Phonethip Thepsiri | Counselor | 162 County Services Drive, Suite, Ashland City, TN 37015 | 2013-03-07 |
| 1043578123 | Walter J Mickulick | Counselor | 5600 Brainerd Rd Ste B42, Chattanooga, TN 37411-5356 | 2012-04-26 |
| 1891072559 | Kathleen Avena Blanco | Counselor | 508 Madison Street Unit 3, Nashville, TN 37208 | 2011-11-09 |
| Find all providers with the same taxonomy | ||||
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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.