DIANE KRAMER GORDON (NPI# 1841477726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841477726 |
Entity Type | Individual |
Full Name | DIANE KRAMER GORDON |
Credential | R.N.,M.S.N.,C.P.N.P. |
Practice Address |
500 Patterson St Lafayette LA 70501-1849 |
Mailing Address |
2000 Opelousas St Lake Charles LA 70601-2641 |
Practice Telephone | 3374399983 |
Practice Fax Number | 3373101161 |
Mailing Telephone | 3374399983 |
Mailing Fax Number | 3373101161 |
Enumeration Date | 2008-01-23 |
Last Update Date | 2016-06-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 0024000058 | VA | Allopathic & Osteopathic Physicians |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP06671 | LA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2164660 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316278385 | Diane Lynn Gordon | Social Worker | 1173 Bellmore Rd, North Bellmore, NY 11710-3757 | 2010-01-14 |
1073629143 | Diane Toby Gordon | Social Worker | 1017 Belleforte Ave, Oak Park, IL 60302-1303 | 2006-08-22 |
1346682531 | Diane Gordon | Physical Therapist | 1111 Raintree Cir, 150, Allen, TX 75013-4901 | 2013-07-29 |
1467591495 | Diane Jean Wood Gordon | Anesthesiology | 13123 E 16th Ave, Aurora, CO 80045 | 2007-02-06 |
1477692937 | Diane Gordon Sr. | Social Worker | 22101 Moross Rd, Grosse Pointe, MI 48236-2148 | 2007-02-05 |
Street Address |
500 PATTERSON ST |
City | LAFAYETTE |
State | LA |
Zip Code | 70501-1849 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700214525 | Ebony Smith | Nurse Practitioner | 500 Patterson St, Lafayette, LA 70501-1849 | 2013-10-15 |
1982043147 | Laboratory Corporation of America | Clinical Medical Laboratory | 500 Patterson St, Lafayette, LA 70501-1849 | 2013-06-21 |
1821334186 | Linda Ann Lopez | Social Worker | 500 Patterson St, Lafayette, LA 70501-1849 | 2012-12-13 |
1205170297 | Brittney Raffial Patterson-davis | Nurse Practitioner | 500 Patterson St, Lafayette, LA 70501-1849 | 2012-11-15 |
1740548601 | Swla Center for Health Services | Pharmacy | 500 Patterson St, Lafayette, LA 70501-1849 | 2012-04-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
Find all providers in zip 70501 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578056842 | Jenna Elizabeth Bednarski | Nurse Practitioner | 3741 Rome Dr Ste B, Lafayette, IN 47905-4490 | 2018-06-12 |
1033505912 | Erin Gena Monachello | Nurse Practitioner | 401 Youngsville Hwy Ste 100, Lafayette, LA 70508-5173 | 2015-04-08 |
1710319009 | Megan Elizabeth Chapman | Nurse Practitioner | 1716 Hartford Stree, Lafayette, IN 47904-2138 | 2013-08-08 |
1932358660 | Claire F. Bailey | Nurse Practitioner | 5000 Ambassador Caffery Pkwy Bldg 12, Lafayette, LA 70508-6984 | 2008-09-18 |
1417995242 | Elizabeth A Jones | Nurse Practitioner | 3741 Rome Dr, Ste. B, Lafayette, IN 47905-4490 | 2006-06-03 |
1407807134 | Melissa Hope Nice | Nurse Practitioner | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2006-05-15 |
1962058743 | Rita M Becker | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2019-08-16 |
1013486588 | Rebekah Hurst | Nurse Practitioner | 1716 Hartford St., Lafayette, IN 47904-2138 | 2018-11-14 |
1295218071 | Hannah Henderson | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2018-09-08 |
1568972446 | Heather F. Champagne | Nurse Practitioner | 401 Youngsville Hwy Ste 100, Lafayette, LA 70508-5173 | 2017-10-05 |
Find all providers in LAFAYETTE |
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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.