AMY D'ANN GORDON (NPI# 1164798989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164798989 |
| Entity Type | Individual |
| Full Name | AMY D'ANN GORDON |
| Credential | ACNP |
| Practice Address |
3506 21st St Suite 607 Lubbock TX 79410-1212 |
| Mailing Address |
3420 22nd Pl Lubbock TX 79410-1314 |
| Practice Telephone | 8067254134 |
| Practice Fax Number | 8067237803 |
| Mailing Telephone | 8067255844 |
| Mailing Fax Number | 8067236532 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2014-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
632065 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164069720 | Amy Hilary Gordon | Nurse Practitioner | 1625 Se 3rd Ave # 502, Fort Lauderdale, FL 33316-2521 | 2019-12-03 |
| 1891345583 | Amy L Gordon | Nurse Practitioner | 1532 Abbe Rd S, Elyria, OH 44035-7349 | 2019-09-16 |
| 1245748748 | Amy Gordon | Acupuncturist | 1926 N 3rd St Ste 100, Flagstaff, AZ 86004-4332 | 2018-01-18 |
| 1629062922 | Amy Nicquel Gordon | Obstetrics & Gynecology | 118 Women's Center Lane, Suite B, Hot Springs, AR 71913 | 2005-09-01 |
| 1083254619 | Amy Katherine Gordon | Pharmacist | 9440 Brownsboro Rd, Louisville, KY 40241-1200 | 2020-01-12 |
| 1679116669 | Amy Elisabeth Gordon | Counselor | 1524 Bishops Lodge Rd, B, Santa Fe, NM 87506 | 2019-10-22 |
| 1780162354 | Amy Elizabeth Gordon | Pharmacist | 272 Hospital Rd, Chillicothe, OH 45601-9031 | 2018-08-05 |
| 1417497702 | Amy Gordon | Social Worker | 11515 Sutphin Blvd, Jamaica, NY 11434-1020 | 2017-03-06 |
| 1467810838 | Amy Gordon | Counselor | 2865 W Broad St, Columbus, OH 43204-2643 | 2016-02-01 |
| 1336573500 | Amy R Gordon | Nurse Practitioner | 525 Portland Ave, Minneapolis, MN 55415-1533 | 2013-08-23 |
| Street Address |
3506 21ST ST SUITE 607 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849419 | Kenneth Edward Kruczek | Internal Medicine | 3506 21st St, Suite 605, Lubbock, TX 79410-1212 | 2005-05-23 |
| 1134661358 | Fred Gregory Sebastian Iv | Physician Assistant | 3506 21st St, Suite 507, Lubbock, TX 79410-1212 | 2016-11-07 |
| 1295284396 | Caitlin Sarah Blair | Nurse Practitioner | 3506 21st St, Ste 607, Lubbock, TX 79410-1212 | 2016-09-29 |
| 1851744957 | Brandy Gilbrett Trevino | Nurse Practitioner | 3506 21st St, Ste. 507, Lubbock, TX 79410-1212 | 2016-07-13 |
| 1366848541 | Gabriella Trevino Davis | Nurse Practitioner | 3506 21st St, Lubbock, TX 79410-1212 | 2014-11-14 |
| 1760817324 | Monica Caraveo Pilip | Nurse Practitioner | 3506 21st St, Suite 203, Lubbock, TX 79410-1212 | 2013-09-13 |
| 1770829012 | Susan Doctolero | Nurse Practitioner | 3506 21st St, Suite 302, Lubbock, TX 79410-1212 | 2012-12-13 |
| 1164791257 | Sharronda Richawn Bradford | Nurse Practitioner | 3506 21st St, Suite605, Lubbock, TX 79410-1212 | 2011-12-20 |
| 1477821106 | Theophilus O Olumese | Hospitalist | 3506 21st St, Suite 605, Lubbock, TX 79410-1212 | 2011-12-08 |
| 1831484831 | Katie L. Hendley | Psychiatry & Neurology | 3506 21st St, Suite 400, Lubbock, TX 79410-1212 | 2011-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821631227 | Nicholas Glenn Thrash | Nurse Practitioner | 3420 Milwaukee Ave Apt 733, Lubbock, TX 79407-3839 | 2019-10-18 |
| 1679070882 | Anitra Trinette Buckley | Nurse Practitioner | 3615 19th St Ste 162, Lubbock, TX 79410-1203 | 2018-04-12 |
| 1548662497 | Tracy Davis | Nurse Practitioner | 4000 22nd Pl Ste 100, Lubbock, TX 79410-1120 | 2014-09-23 |
| 1619270659 | Julia C Beaver | Nurse Practitioner | 3506 21st St Ste 507, Lubbock, TX 79410-1233 | 2010-12-14 |
| 1457965360 | Frances Greg Y Bordon | Nurse Practitioner | 3621 22nd St, Lubbock, TX 79410-1301 | 2020-09-08 |
| 1396359618 | David Tweed | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2020-09-03 |
| 1346882974 | Rachael Marie Polak | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2019-10-15 |
| 1457993016 | Austin J Lawrence | Nurse Practitioner | 3621 22nd St Ste 400, Lubbock, TX 79410-1302 | 2019-10-15 |
| 1043795347 | Brian Richard Honekamp | Nurse Practitioner | 3506 21st St Ste 602, Lubbock, TX 79410-1234 | 2018-10-02 |
| 1851842421 | Mandy Vanstory | Nurse Practitioner | 3621 22nd St, Suite 400, Lubbock, TX 79410-1301 | 2016-10-19 |
| Find all providers in LUBBOCK | ||||
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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.