DEONA M GORDON (NPI# 1952826083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952826083 |
| Entity Type | Individual |
| Full Name | DEONA M GORDON |
| Credential | RN |
| Practice Address |
601 Edwin C Moses Blvd. 1st Floor Samaritan Behavioral Health, Inc. Dayton OH 45417-3424 |
| Mailing Address |
601 Edwin C. Moses Blvd. 1st Floor Samaritan Behavioral Health, Inc. Dayton OH 45417-3424 |
| Practice Telephone | 9377348333 |
| Practice Fax Number | 9377344343 |
| Mailing Telephone | 9377348333 |
| Mailing Fax Number | 9377344343 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 400974 | OH | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
400974 | OH | Nursing Service Providers |
| Street Address |
601 EDWIN C MOSES BLVD. 1ST FLOOR SAMARITAN BEHAVIORAL HEALTH, INC. |
| City | DAYTON |
| State | OH |
| Zip Code | 45417-3424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033620471 | Briana M Mckenzie | Counselor | 601 Edwin C Moses Blvd. 1st Floor, Samaritan Behavioral Health, Inc., Dayton, OH 45417-3424 | 2017-10-12 |
| 1871004200 | Erin L Brooks | Social Worker | 601 Edwin C Moses Blvd. 1st Floor, Samaritan Behavioral Health, Inc., Dayton, OH 45417-3424 | 2017-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329504 | Kanika Crowder | Home Health Aide | 5964 Hoover Ave, Dayton, OH 45417 | 2020-03-03 |
| 1427510510 | Michael S Hatesohl | Student in an Organized Health Care Education/Training Program | 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2019-04-05 |
| 1205313350 | Latonda T Brewer | Home Health Aide | 3900 Cone Ct, Dayton, OH 45417 | 2018-07-22 |
| 1205326048 | Diane Fillmore | Case Manager/Care Coordinator | 1818 West Main Street, Dayton, OH 45417 | 2018-05-17 |
| 1295222941 | Zainab Saherwala | Student in an Organized Health Care Education/Training Program | 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 | 2018-04-18 |
| 1013430123 | Bridgette Elizabeth Quinlin | Counselor | 4104 Germantown St, Dayton, OH 45417 | 2017-07-20 |
| 1083144679 | Tadesha Marie Gay | Licensed Practical Nurse | 4748 Ericson Ave, Dayton, OH 45417 | 2017-06-15 |
| 1386180099 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 821 S Edwin C Moses Blvd, Dayton, OH 45417 | 2017-01-19 |
| 1770039760 | Jamie E Denlinger | Social Worker | 1 Elizabeth Pl Fl 3, Dayton, OH 45417 | 2016-08-30 |
| 1780069823 | Care4us Behavioral Health Center, LLC | Community/Behavioral Health | 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 | 2015-07-29 |
| Find all providers in zip 45417 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366793366 | Shalon Carolyn Wright | Registered Nurse | 1121 Chelsea Ave, Dayton, OH 45420-3064 | 2012-10-01 |
| 1093066946 | Julie Kristin Benge | Registered Nurse | Samiratan Behavioral Health, Inc., 601 Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2012-10-01 |
| 1588673925 | Kelly Kazlo | Registered Nurse | Dayton Veterans Affairs, 4100 W Third Street Mail Stop 116, Dayton, OH 45428 | 2006-08-05 |
| 1699382432 | Kimberly Sue Massie | Registered Nurse | 7695 Poe Ave, Dayton, OH 45414-2552 | 2020-09-25 |
| 1497368856 | Dinah Callender | Registered Nurse | 4100 W 3rd St, Dayton, OH 45428-9000 | 2020-08-26 |
| 1033730312 | Robin D Myers | Registered Nurse | 7695 Poe Ave, Dayton, OH 45414-2552 | 2020-04-28 |
| 1144875386 | Kathleen Margaret Thompson | Registered Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2019-08-05 |
| 1225693856 | Andrea Back | Registered Nurse | 25 Thorpe Dr, Dayton, OH 45420-1823 | 2019-05-09 |
| 1558829580 | Lois Jean Miller | Registered Nurse | 732 Beckman St, Dayton, OH 45410-2165 | 2019-03-08 |
| 1033625785 | Ashley Elizabeth Bell | Registered Nurse | 2611 Wayne Ave, Dayton, OH 45420-1833 | 2017-12-18 |
| Find all providers in DAYTON | ||||
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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.