DR. AMY R GORDON (NPI# 1336573500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336573500 |
| Entity Type | Individual |
| Full Name | DR. AMY R GORDON |
| Credential | NP-C |
| Practice Address |
525 Portland Ave Minneapolis MN 55415-1533 |
| Practice Telephone | 6125969643 |
| Practice Fax Number | 6125969641 |
| Mailing Telephone | 6125969643 |
| Mailing Fax Number | 6125969641 |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R1830486 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | H400240648 | 05 |
| 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 |
| 1164798989 | Amy D'ann Gordon | Nurse Practitioner | 3506 21st St, Suite 607, Lubbock, TX 79410-1212 | 2012-03-27 |
| Street Address |
525 PORTLAND AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55415-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619954732 | Meaghan Morton | Registered Nurse | 525 Portland Ave, Minneapolis, MN 55415-1533 | 2005-12-29 |
| 1972120434 | Edward Evan Weibye | Counselor | 525 Portland Ave, Minneapolis, MN 55415-1533 | 2020-07-01 |
| 1669024857 | Anna Elizabeth Carpenter | Social Worker | 525 Portland Ave, Minneapolis, MN 55415-1533 | 2019-07-09 |
| 1922571835 | Sara Creurer | Psychologist | 525 Portland Ave, Minneapolis, MN 55415-1533 | 2019-01-03 |
| 1619448487 | Natalie Sinkler | Social Worker | 525 Portland Ave, Minneapolis, MN 55415-1533 | 2018-12-05 |
| 1801318167 | Naomi Ann Windham | Registered Nurse | 525 Portland Ave, Minneapolis, MN 55415 | 2017-07-08 |
| 1386164358 | Megan Ann Week | Social Worker | 525 Portland Ave, Minneapolis, MN 55415-1533 | 2017-06-21 |
| 1942745773 | Mary-anne Falade | Counselor | 525 Portland Ave, Minneapolis, MN 55415-1533 | 2017-01-03 |
| 1306381256 | Kafayat Julmat | Counselor | 525 Portland Ave, Minneapolis, MN 55415-1533 | 2017-01-02 |
| 1851841225 | Fernando Ferrell | Counselor | 525 Portland Ave, Minneapolis, MN 55415-1533 | 2016-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547643 | Kevin Reininger | Pharmacist | 730 S 8th St., Pharmacy Department, Minneapolis, MN 55415 | 2020-04-24 |
| 1124674551 | Andrew Michael Baker | Pathology | Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 | 2019-08-12 |
| 1598326951 | Monazza Iqbal Chaudhry | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center 701 Park Avenue, Minneapolis, MN 55415 | 2019-06-26 |
| 1760947196 | Brandon Haas | Pharmacist | 701 Park Ave Rll, Minneapolis, MN 55415 | 2019-02-11 |
| 1710474192 | Andrea Kramer | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center Emergency Medicine, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-20 |
| 1750888640 | Alexandra Rose Coward | Student in an Organized Health Care Education/Training Program | Hennepin County Medical Center - General Surgery, 701 Park Avenue, Minneapolis, MN 55415 | 2018-04-09 |
| 1194235861 | Gretchen Jane Vanderlinden-wang | Social Worker | Hennepin County Medical Center Adult Psychiatry Clinic, 701 Park Avenue, Shapiro Building, Suite S1.110, Minneapolis, MN 55415 | 2017-10-06 |
| 1720501117 | Dominique Lacha Jones | Advanced Practice Midwife | 716 South 7th Street, Purple Building Level 5, Minneapolis, MN 55415 | 2017-07-18 |
| 1669905618 | Joseph Douglas Steffens | Internal Medicine | 701 Park Avenue, Internal Medicine Residency Program, Hennepin County Medical Center, Minneapolis, MN 55415 | 2017-04-06 |
| 1215469689 | Michael Reitz | Student in an Organized Health Care Education/Training Program | 701 Park Avenue, B5.118, Minneapolis, MN 55415 | 2017-04-03 |
| Find all providers in zip 55415 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1356951552 | Madelyn Jayne Argo | Nurse Practitioner | 1720 Victory Memorial Dr, Minneapolis, MN 55412-1239 | 2020-08-03 |
| 1356963789 | Kersten Larayne Bailey | Nurse Practitioner | 2958 Lincoln St Ne, Minneapolis, MN 55418-2236 | 2020-05-07 |
| 1649804519 | Ifrah Abdi Abdullahi | Nurse Practitioner | 620 E Franklin Ave Apt 413, Minneapolis, MN 55404-3293 | 2020-02-28 |
| 1821645342 | Kelsey Middlestaedt | Nurse Practitioner | 2525 Chicago Ave Ste 32-t5, Minneapolis, MN 55404-4518 | 2019-08-20 |
| 1720546773 | Erika Lindsey Kuis | Nurse Practitioner | 918 W Lake St, Minneapolis, MN 55408-2857 | 2019-03-08 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1588176028 | Sylvie Adjoko Gaba | Nurse Practitioner | 100 South Fifth Street 19th Floor, Minneapolis, MN 55402-5199 | 2017-10-24 |
| 1336664804 | Heidi M Morrisey | Nurse Practitioner | 800 East 28th St W, Minneapolis, MN 55407 | 2017-08-07 |
| 1275073181 | Yellow Coriander, Psc | Nurse Practitioner | 60 South 6th Street, Suite 2800, Minneapolis, MN 55402 | 2017-02-27 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55415 |
Please comment or provide details below to improve the information on DR. AMY R GORDON.
| 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.