NICOLE J GORDON (NPI# 1912264342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912264342 |
| Entity Type | Individual |
| Full Name | NICOLE J GORDON |
| Credential | HHC, CT |
| Practice Address |
10440 Shaker Dr Suite 105 Columbia MD 21046-1200 |
| Mailing Address |
1801 Rambling Ridge Ln Apt 302 Baltimore MD 21209-1229 |
| Practice Telephone | 9732717415 |
| Mailing Telephone | 9732717415 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719067 | Nicole Lynn Gordon | Home Health Aide | 1013 W Semmes Ave, Osceola, AR 72370-2347 | 2020-10-28 |
| 1477192953 | Nicole Denise Gordon | Student in an Organized Health Care Education/Training Program | 26 Bog Hill Rd, Weare, NH 03281-4200 | 2019-12-31 |
| 1871144535 | Nicole Gordon | Counselor | 7609 W Rovey Ave, Glendale, AZ 85303-4250 | 2019-09-24 |
| 1609217447 | Nicole Gordon | Pharmacist | 2352 Shire Way, Oakdale, CA 95361-8923 | 2013-07-09 |
| 1013123470 | Nicole Thornton Gordon | Dentist | 691 Alderman Rd, Palm Harbor, FL 34683-2602 | 2007-05-15 |
| 1164636064 | Nicole Marie Gordon | Occupational Therapist | 2611 Guthrie Ave N, Oakdale, MN 55128-3924 | 2007-05-09 |
| 1982686523 | Nicole Michelle Gordon | Internal Medicine | 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308-2246 | 2005-11-18 |
| 1750988333 | Nicole Gordon | Case Manager/Care Coordinator | 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 | 2020-10-06 |
| 1154834604 | Nicole Gordon | Occupational Therapist | 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 | 2017-11-07 |
| 1720504376 | Nicole Gordon | Case Manager/Care Coordinator | 555 Cincinnati-batavia Pike, Cincinnati, OH 45244 | 2017-08-16 |
| Street Address |
10440 SHAKER DR SUITE 105 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043242175 | Julie A Morrison | Psychologist | 10440 Shaker Dr, Suite 209, Columbia, MD 21046-1200 | 2006-07-07 |
| 1093324030 | Continuum, LLC | Durable Medical Equipment & Medical Supplies | 10440 Shaker Dr, Columbia, MD 21046-1200 | 2020-07-27 |
| 1730741265 | Tiffany Bruder | Psychologist | 10440 Shaker Dr, Columbia, MD 21046-1200 | 2019-07-04 |
| 1245601277 | Jeanna Johnson | Acupuncturist | 10440 Shaker Dr, Columbia, MD 21046-1200 | 2015-10-16 |
| 1386012995 | Ann Keating | Nutritionist | 10440 Shaker Dr, Suite103, Columbia, MD 21046-1200 | 2015-09-14 |
| 1659750479 | Ann Keating Integrative Nutrition, LLC | Nutritionist | 10440 Shaker Dr, Stes 103 and 203, Columbia, MD 21046-1200 | 2015-05-26 |
| 1205267218 | Tamera Jett-parmer | Physician Assistant | 10440 Shaker Dr, Columbia, MD 21046-1200 | 2013-12-02 |
| 1982039210 | Lenore Turner | Counselor | 10440 Shaker Dr, Suite 103, Columbia, MD 21046-1200 | 2013-09-05 |
| 1932461910 | Jill Ann Hudock | Acupuncturist | 10440 Shaker Dr, Suite 103, Columbia, MD 21046-1200 | 2012-06-14 |
| 1083985774 | Stephanie Farrell | Speech-Language Pathologist | 10440 Shaker Dr, Suite 108 & 109, Columbia, MD 21046-1200 | 2012-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306382601 | Chimene Castor | Nutritionist | 6218 Black Cherry Circle, Columbia, MD 21045 | 2017-01-10 |
| 1639592322 | Kathleen Ann Garriques | Nutritionist | 11 Riverview Ave, Columbia, NJ 07832-2030 | 2014-01-30 |
| 1407192917 | Cara Zaller | Nutritionist | 7148 Morning Light Trl, Columbia, MD 21044-4908 | 2013-01-02 |
| 1891312765 | Fabrienne Payne | Nutritionist | 1501 Sumter St, Columbia, SC 29201-2829 | 2020-06-26 |
| 1093251324 | The Cedar Health Group LLC | Nutritionist | 6218 Black Cherry Circle, Columbia, MD 21045 | 2017-01-10 |
| 1326592536 | True Counsel LLC | Nutritionist | 1 Windsor Cove Suite 304, Columbia, SC 29223-2948 | 2016-08-05 |
| 1811343148 | Carmen Harris | Nutritionist | 854 W James Campbell Blvd, Suite 100, Columbia, TN 38401-4659 | 2016-05-05 |
| 1134468325 | Nancy Rice | Nutritionist | 1216 Trotwood Ave, Columbia, TN 38401-6406 | 2013-02-07 |
| 1902125719 | Krystle Littrell Stanley | Nutritionist | 1909 Hampshire Pike, Columbia, TN 38401-5650 | 2010-05-19 |
| 1346494762 | Amy L Helms | Nutritionist | 2902 River Dr, Columbia, SC 29201-1651 | 2008-11-12 |
| Find all providers in COLUMBIA | ||||
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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.