DASRINE K GORDON (NPI# 1295235943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295235943 |
| Entity Type | Individual |
| Full Name | DASRINE K GORDON |
| Credential | APRN |
| Practice Address |
1565 Saxon Blvd Ste 102 Deltona FL 32725-5823 |
| Mailing Address |
705 Cheltenham Ave Deltona FL 32738-9007 |
| Practice Telephone | 3869177395 |
| Practice Fax Number | 3865327152 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9344126 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1565 SAXON BLVD STE 102 |
| City | DELTONA |
| State | FL |
| Zip Code | 32725-5823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093249906 | Pooja Shankar | Family Medicine | 1565 Saxon Blvd Ste 102, Deltona, FL 32725-5823 | 2017-04-18 |
| 1740773407 | Kate-lynn Holder | Physician Assistant | 1565 Saxon Blvd Ste 102, Deltona, FL 32725-5823 | 2018-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1235674359 | Danielle Nichole Nussel | Behavioral Analyst | 1729 Templewood Ave, Deltona, FL 32725 | 2016-12-28 |
| 1023550498 | Deltona Alf Management | Assisted Living Facility | 2306 N Normandy Blvd, Deltona, FL 32725 | 2016-11-16 |
| 1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
| 1932500170 | Onshk LLC | Pharmacy | 2091 Saxon Blvd, Suite 100, Deltona, FL 32725 | 2014-09-08 |
| 1104239706 | Natalie Beecham-coppin | Social Worker | 323 Diamond Street, Deltona, FL 32725 | 2014-06-11 |
| 1871893826 | John E Peats | Speech-Language Pathologist | 2979 Wild Pepper Avenue, Deltona, FL 32725 | 2010-10-25 |
| 1558682328 | Lisa Krupa | Counselor | 667 Deltona Blvd., Deltona, FL 32725 | 2010-06-16 |
| 1730407917 | Robert E Kent | Physical Medicine & Rehabilitation | 813 Deltona Blvd, Deltona, FL 32725 | 2010-05-12 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| Find all providers in zip 32725 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876824 | Christopher W Brim | Nurse Practitioner | 863 Tamerlane St, Deltona, FL 32725-5545 | 2020-09-22 |
| 1366089112 | Diane Boicourt | Nurse Practitioner | 963 Humphrey Blvd, Deltona, FL 32738-7918 | 2019-11-27 |
| 1760024541 | Brandie Quiles | Nurse Practitioner | 716 Shafton Ave, Deltona, FL 32738-7109 | 2019-10-13 |
| 1033778634 | Tonya Tanisha Jacobs | Nurse Practitioner | 1565 Saxon Blvd Ste 203, Deltona, FL 32725-5836 | 2019-06-07 |
| 1427535988 | Sharlene Reed | Nurse Practitioner | 1878 Monticello St, Deltona, FL 32738-4816 | 2018-07-26 |
| 1336674068 | Katrina Herman Akin | Nurse Practitioner | 2827 Grayton St, Deltona, FL 32738-1301 | 2017-05-01 |
| 1770934655 | Dianne Kyle | Nurse Practitioner | 3479 Heath Dr, Deltona, FL 32725-3098 | 2016-06-22 |
| 1497152540 | Nakesha Miller | Nurse Practitioner | 2469 Academy Ave, Deltona, FL 32738-2599 | 2014-12-03 |
| 1790266013 | Amber Jo Bryant | Nurse Practitioner | 2090 Saxon Blvd Ste B, Deltona, FL 32725 | 2018-08-24 |
| 1699296467 | Vanessa Davis | Nurse Practitioner | 1857 Providence Blvd, Deltona, FL 32725-3811 | 2017-07-03 |
| Find all providers in DELTONA | ||||
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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.