KEISHA GORDON-PRIMUS (NPI# 1093196537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093196537 |
| Entity Type | Individual |
| Full Name | KEISHA GORDON-PRIMUS |
| Credential | FNP-BC |
| Practice Address |
10701 International Dr Orlando FL 32821-7392 |
| Practice Telephone | 8663892727 |
| Practice Fax Number | 4012163854 |
| Mailing Telephone | 8663892727 |
| Mailing Fax Number | 4012163854 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2017-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9231746 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10701 INTERNATIONAL DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32821-7392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548377492 | Marlie Clay | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2006-08-24 |
| 1558837310 | Jerrylee Saumell Rosales | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2018-10-19 |
| 1245778794 | Maria Victoria Hongco Perez | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2017-02-04 |
| 1164804969 | Aquilla Battle | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2015-06-29 |
| 1659778538 | Marie Huguette Sherly Theodore Felder | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2014-11-20 |
| 1750655700 | Robin Victoria Moehling | Nurse Practitioner | 10701 International Dr, Orlando, FL 32821-7392 | 2012-03-07 |
| 1942304860 | Holiday Cvs LLC | Pharmacy | 10701 International Dr, Orlando, FL 32821-7392 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885460 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 11619 Daryl Carter Parkway, Orlando, FL 32821 | 2020-06-16 |
| 1740527811 | Medical Home Alliance LLC | Internal Medicine | 6675 Westwood Blvd Ste 475, Orlando, FL 32821 | 2013-01-10 |
| 1215298385 | Steven C Batchelor | Case Manager/Care Coordinator | 5334 Central Florida Parkway #123, Orlando, FL 32821 | 2012-06-05 |
| 1811267859 | Kon Ying Leung | Pharmacist | 12650 International Drive South, Orlando, FL 32821 | 2012-01-09 |
| 1700085297 | Jill Brightman Bello | Social Worker | 5314 Dorrington Ln, Orlando, FL 32821 | 2007-07-13 |
| 1952320947 | Michell Lyn Arnow Phd Pa | Psychologist | 5007 Gateway Avenue, Suite B, Orlando, FL 32821 | 2006-07-19 |
| 1205824513 | Nusrath Hasan Baig | Psychiatry & Neurology | 6601 Central Florida Parkway, Central Florida Behavioral Hospital, Orlando, FL 32821 | 2005-10-11 |
| 1225188253 | Linda Bisnauth | Psychiatry & Neurology | 6601 Central Florida Parkway, Central Florida Behavioral Hospital, Orlando, FL 32821 | 2007-01-11 |
| 1376047530 | Nathaniel Edward Dash | Occupational Therapy Assistant | 6627 Tanglewood Bay Dr, Apt 1105, Orlando, FL 32821-3282 | 2018-03-22 |
| 1891229712 | Christopher Wilcox | Social Worker | 8807 Villa View Cir, 202, Orlando, FL 32821-4112 | 2017-04-18 |
| Find all providers in zip 32821 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
| 1962019232 | Gerda Dorce | Nurse Practitioner | 5045 Catspaw Ct, Orlando, FL 32808-5961 | 2020-09-30 |
| 1073120093 | Kailey Wickens | Nurse Practitioner | 10139 Rivers Trail Dr, Orlando, FL 32817-2884 | 2020-09-24 |
| 1528672284 | Paulette Fernandez | Nurse Practitioner | 9208 Larette Dr, Orlando, FL 32817-2618 | 2020-09-01 |
| 1225641798 | Jennifer Marie Fleitas | Nurse Practitioner | 1501 Balsam Willow Trl, Orlando, FL 32825-4469 | 2020-08-25 |
| 1730792201 | Winnie Tsang-wu | Nurse Practitioner | 11419 Chateaubriand Ave, Orlando, FL 32836-8890 | 2020-08-25 |
| 1851902548 | April Michelle Edwards | Nurse Practitioner | 2630 Babbitt Ave, Orlando, FL 32833-4023 | 2020-08-14 |
| 1417567454 | Maureen Williams | Nurse Practitioner | 2126 Great Falls Way, Orlando, FL 32824-4302 | 2020-08-04 |
| 1134747470 | Edelio Valentin De Zayas | Nurse Practitioner | 7763 Segovia St, Orlando, FL 32822-8036 | 2020-07-13 |
| 1811515141 | Yuliet Castillo | Nurse Practitioner | 10814 Flycast Cir, Orlando, FL 32825-4878 | 2020-07-13 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on KEISHA GORDON-PRIMUS.
| 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.