KELLEY GORDON


Address: 321 Ferry St, # 6, Everett, MA 02149-5608
Phone: 6177854812

KELLEY GORDON (NPI# 1174800643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174800643
Entity Type Individual
Full Name KELLEY GORDON
Credential LPN
Practice Address 321 Ferry St
# 6
Everett
MA 02149-5608
Practice Telephone 6177854812
Mailing Telephone 6177854812
Enumeration Date 2011-11-10
Last Update Date 2011-11-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 164W00000X Licensed Practical Nurse LN69985 MA Nursing Service Providers

Office Location

Street Address 321 FERRY ST
# 6
City EVERETT
State MA
Zip Code 02149-5608

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295336550 Berthonya Joas Physical Therapy Assistant 62 Lawrence St, Everett, MA 02149 2020-11-03
1053940031 Sarah Ann Bottiglio Pharmacist Whidden Hospital, 103 Garland Street, Everett, MA 02149 2020-04-02
1417494139 Tsering Dolkar Registered Nurse Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 2017-01-20
1073060190 Egenie Desir Registered Nurse 102 Edith St, Everett, MA 02149 2016-09-07
1295113215 Tracy Guan Speech-Language Pathologist 213 Springvale Ave, Everett, MA 02149 2015-05-11
1386075562 Maritza Andrea Romano Licensed Practical Nurse 77 Clark Street, Everett, MA 02149 2013-12-12
1619221454 Nicole Marie Shanahan Social Worker 23 Union Street, Apartment 2, Everett, MA 02149 2012-11-01
1760764997 Ashish Agarwal Pharmacist 317 Ferry Street, Everett, MA 02149 2011-09-14
1851684856 Jocelyn Ronda Internal Medicine Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 2011-05-24
1720292204 Geraldine Chandra Martin Optometrist 2 Mystic View Road, Everett, MA 02149 2007-05-10
Find all providers in zip 02149

Taxonomy Information

Taxonomy Code 164W00000X
Grouping Nursing Service Providers
Classification Licensed Practical Nurse

Taxonomy Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992256473 Lindsey Abendroth Licensed Practical Nurse 9930 Evergreen Way Ste 150, Everett, WA 98204-3883 2016-10-19
1881044030 Laura Teresa Wheeler Licensed Practical Nurse 77 Clark St, Everett, MA 02149-2105 2016-06-20
1386075562 Maritza Andrea Romano Licensed Practical Nurse 77 Clark Street, Everett, MA 02149 2013-12-12
1093012585 Nancy W. Mwangi Licensed Practical Nurse 21 Staples Ave Apt 11, Everett, MA 02149-2242 2011-02-17
1093044075 Traci Morgan Licensed Practical Nurse 11812 E Gibson Rd, D127, Everett, WA 98204-8691 2009-12-21
1447859426 Marko Kalaba Licensed Practical Nurse 4526 Federal Ave, Everett, WA 98203-2132 2020-10-21
1093313967 Henry Charles Semple Jr. Licensed Practical Nurse 9930 Evergreen Way Ste Z150, Everett, WA 98204-3889 2020-10-13
1508479569 Lisa R. Lunsford Licensed Practical Nurse 4526 Federal Ave, Everett, WA 98203-2132 2020-08-28
1467098988 Kimberley Ann Mathers Licensed Practical Nurse 4526 Federal Ave, Everett, WA 98203-2132 2019-11-19
1811533565 Steven Titus Licensed Practical Nurse 4526 Federal Ave # Ms 11, Everett, WA 98203-2132 2019-11-18
Find all providers in EVERETT

Competitor

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City EVERETT
Zip Code 02149

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Dataset Information

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.

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