MRS. NARDA GABRIELA GORDILLO (NPI# 1811223209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811223209 |
| Entity Type | Individual |
| Full Name | MRS. NARDA GABRIELA GORDILLO |
| Credential | B.S. |
| Practice Address |
808 Main St E Menomonie WI 54751-2735 |
| Mailing Address |
808 Main St E Po Box 470 Menomonie WI 54751-2735 |
| Practice Telephone | 7152312723 |
| Practice Fax Number | 7152325987 |
| Mailing Telephone | 7152312723 |
| Mailing Fax Number | 7152325987 |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2012-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
808 MAIN ST E |
| City | MENOMONIE |
| State | WI |
| Zip Code | 54751-2735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598719924 | Mary J Kragness | Occupational Therapist | 808 Main St E, Menomonie, WI 54751-2735 | 2006-05-20 |
| 1366852642 | Hayley Suckow | Case Manager/Care Coordinator | 808 Main St E, Menomonie, WI 54751-2735 | 2014-05-07 |
| 1437569480 | Michelle Hinrichs | Case Manager/Care Coordinator | 808 Main St E, Menomonie, WI 54751-2735 | 2014-04-30 |
| 1841600814 | Robin Zelm | Case Manager/Care Coordinator | 808 Main St E, Menomonie, WI 54751-2735 | 2014-04-30 |
| 1841621562 | Kimberly Garry | Case Manager/Care Coordinator | 808 Main St E, Menomonie, WI 54751-2735 | 2013-12-05 |
| 1922432004 | Laura Michelle Tiffany-draeger | Social Worker | 808 Main St E, Menomonie, WI 54751-2735 | 2013-08-26 |
| 1295179067 | Emily Lucille Jones | Case Manager/Care Coordinator | 808 Main St E, Menomonie, WI 54751-2735 | 2013-04-24 |
| 1346509809 | Kyle John Schemenauer | Case Manager/Care Coordinator | 808 Main St E, Menomonie, WI 54751-2735 | 2012-05-03 |
| 1871872333 | Jennifer G Kasfeldt | Case Manager/Care Coordinator | 808 Main St E, Menomonie, WI 54751-2735 | 2011-08-15 |
| 1063717221 | Rebekah Shearier | Case Manager/Care Coordinator | 808 Main St E, Menomonie, WI 54751-2735 | 2011-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154840569 | Ashley Friedenfels | Physical Medicine & Rehabilitation | E4486 290th Avenue, Menomonie, WI 54751 | 2017-09-18 |
| 1215307814 | David Calvin Reimann | Hearing Instrument Specialist | E4584 483rd Avenue, Menomonie, WI 54751 | 2015-09-25 |
| 1790128627 | County of Dunn | Skilled Nursing Facility | 651 Howison Circle, Menominie, WI 54751 | 2013-04-10 |
| 1043653983 | County of Dunn | Skilled Nursing Facility | 658 Howison Circle, Menomonie, WI 54751 | 2013-04-10 |
| 1447519236 | Gentle Dental Care LLC | Dentist | 1813 Wilson St., Menomonie, WI 54751 | 2012-05-14 |
| 1386960193 | Kilimanjaro LLC | Non-emergency Medical Transport (VAN) | 1222 14th Ave E, Menomonie, WI 54751 | 2010-04-19 |
| 1275709180 | Dianne Marie Bennett | Counselor | 1916 2nd St W, Menomonie, WI 54751 | 2008-05-01 |
| 1417136201 | David Gary Hackbarth | Chiropractor | 3120 Schneider Ave E, Suite #5, Menomonie, WI 54751 | 2007-10-29 |
| 1306057336 | Tonia D. Behling | Dental Hygienist | 3375 Kothlow Ave., Suite 40, Menomonie, WI 54751 | 2007-05-24 |
| 1295956282 | Danny Roger Wood | Dentist | 1603 Stout Rd, Menomonie, WI 54751 | 2007-05-01 |
| Find all providers in zip 54751 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649834110 | Rebecca Krisko | Day Training/Habilitation Specialist | 1846 Industrial Dr, Green Bay, WI 54302-2108 | 2019-04-30 |
| 1386110336 | Vue P Xiong | Day Training/Habilitation Specialist | 4534 Pawnee Pass, Fitchburg, WI 53711-4712 | 2018-10-17 |
| 1972815868 | Mandi J Skorstad | Day Training/Habilitation Specialist | W20298 State Road 121, Whitehall, WI 54773-9685 | 2010-07-08 |
Please comment or provide details below to improve the information on MRS. NARDA GABRIELA GORDILLO.
| 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.