KRISTIN M GORDON (NPI# 1144854985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144854985 |
Entity Type | Individual |
Full Name | KRISTIN M GORDON |
Other Name | KRISTIN MARY WENDELKEN |
Practice Address |
6220 Washington Ave Ste D Mount Pleasant WI 53406-3952 |
Mailing Address |
1281 River Park Cir E Mukwonago WI 53149-1023 |
Practice Telephone | 2628840600 |
Mailing Telephone | 2623520898 |
Enumeration Date | 2020-03-02 |
Last Update Date | 2020-03-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 237700000X | Hearing Instrument Specialist | 1607-60 | WI | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801106489 | Kristin Rae Gordon | Specialist | 2049 Ranch Gate Trl, Castle Rock, CO 80104-7794 | 2010-10-15 |
1215242326 | Kristin Shallcross Gordon | Family Medicine | 600 Community Dr Ste 302, Manhasset, NY 11030-3818 | 2010-08-12 |
1003474925 | Kristin N Gordon | Physical Therapist | 605 S Jefferson St, Princeton, KY 42445-2173 | 2019-06-05 |
Street Address |
6220 WASHINGTON AVE STE D |
City | MOUNT PLEASANT |
State | WI |
Zip Code | 53406-3952 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235646456 | Katherine Lazzara | Hearing Instrument Specialist | 6220 Washington Ave Ste D, Mount Pleasant, WI 53406-3952 | 2018-01-09 |
1528527058 | Peter Drummond | Hearing Instrument Specialist | 6220 Washington Ave Ste D, Mount Pleasant, WI 53406-3952 | 2019-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578164349 | Lynn Huynh | Pharmacist | 5695 Washington Ave, Racine, WI 53406 | 2020-11-06 |
1659920049 | Carol Jean Cornejo | Technician | 6528 Heritage Avenue, Mt Pleasant, WI 53406 | 2019-09-09 |
1265913958 | Mary Goldbeck | Social Worker | 1775 Newman Rd, Mt Pleasant, WI 53406 | 2018-08-22 |
1669963344 | Kelly Nicole Nelson | Registered Nurse | 8800 Washington Ave Ste 200, Mount Pleasant, WI 53406 | 2018-05-29 |
1891212163 | Ilona Agata Pryomski | Nurse Practitioner | 9201 Washington Ave, Racine, WI 53406 | 2017-08-27 |
1386185106 | Margaret M. Abaogye Dds | Dentist | 4340 Newman Rd., Racine, WI 53406 | 2017-03-13 |
1508309212 | Rebecca Koeppen | Dietitian, Registered | 8400 Washington Ave., Racine, WI 53406 | 2016-11-29 |
1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
1861841470 | Leah Marie Johnson | Dentist | 1101 South Airline Road, Racine, WI 53406 | 2016-06-06 |
Find all providers in zip 53406 |
Taxonomy Code | 237700000X |
Grouping | Speech, Language and Hearing Service Providers |
Classification | Hearing Instrument Specialist |
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235646456 | Katherine Lazzara | Hearing Instrument Specialist | 6220 Washington Ave Ste D, Mount Pleasant, WI 53406-3952 | 2018-01-09 |
1013435502 | Derrick Woods | Hearing Instrument Specialist | 311 Johnnie Dodds Blvd Unit 121, Mount Pleasant, SC 29464-2975 | 2017-09-05 |
1275056889 | Kenneth Clark | Hearing Instrument Specialist | 304 E Broadway St Ste 20, Mount Pleasant, MI 48858-2364 | 2017-07-25 |
1508141003 | David G Braun | Hearing Instrument Specialist | 6015 Durand Ave Ste 100, Mount Pleasant, WI 53406-5044 | 2011-10-15 |
1528527058 | Peter Drummond | Hearing Instrument Specialist | 6220 Washington Ave Ste D, Mount Pleasant, WI 53406-3952 | 2019-03-14 |
1255807285 | Diane Chu | Hearing Instrument Specialist | 6015 Durand Ave Ste 100, Mount Pleasant, WI 53406-5044 | 2018-10-17 |
1154897445 | Me Pivot Holdings LLC | Hearing Instrument Specialist | 812 Johnnie Dodds Blvd Ste B, Mount Pleasant, SC 29464-5900 | 2018-10-15 |
1164968285 | Gregg Wilke | Hearing Instrument Specialist | 6220 Washington Ave, Suite D, Mount Pleasant, WI 53406-3952 | 2017-01-12 |
1780081125 | Heather Jennifer Braun | Hearing Instrument Specialist | 6015 Durand Ave Ste 100, Mount Pleasant, WI 53406-5044 | 2014-12-01 |
1689089856 | S.e. Wisconsin Hearing Center Inc. | Hearing Instrument Specialist | 6015 Durand Ave Ste 100, Mount Pleasant, WI 53406-5044 | 2014-06-26 |
Find all providers in MOUNT PLEASANT |
City | MOUNT PLEASANT |
Zip Code | 53406 |
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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.