KELLEY GORDON (NPI# 1174800643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 164W00000X | Licensed Practical Nurse | LN69985 | MA | Nursing Service Providers |
Street Address |
321 FERRY ST # 6 |
City | EVERETT |
State | MA |
Zip Code | 02149-5608 |
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 Code | 164W00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Practical Nurse |
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. |
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 |
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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.