AMY ELIZABETH GORDON (NPI# 1447574439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447574439 |
Entity Type | Individual |
Full Name | AMY ELIZABETH GORDON |
Credential | M.A. L.M.H.C. C.D.P. |
Practice Address |
31912 Little Boston Rd Ne Kingston WA 98346-9700 |
Mailing Address |
84 Barn Swallow Rd Chimacum WA 98325-7719 |
Practice Telephone | 3606330099 |
Enumeration Date | 2010-03-18 |
Last Update Date | 2010-03-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
LH 00007718 | WA | Ambulatory Health Care Facilities |
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
CP 00004065 | WA | Ambulatory Health Care Facilities |
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 |
31912 LITTLE BOSTON RD NE |
City | KINGSTON |
State | WA |
Zip Code | 98346-9700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992973754 | Courtney Elizabeth Oliver | Counselor | 31912 Little Boston Rd Ne, Port Gamble Sklallam Tribe, Kingston, WA 98346-9700 | 2008-02-14 |
1336603026 | Jason Raydr-scott Gomez | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2019-01-26 |
1942734884 | Adam Jackson | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2017-04-18 |
1891109757 | Susan Krall | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2014-06-18 |
1528348182 | Jamie Ruth Barringer | Counselor | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2011-08-26 |
1154614808 | Heidi C. Clark | Case Manager/Care Coordinator | 31912 Little Boston Rd Ne, Kingston, WA 98346-9700 | 2011-05-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831725688 | Sierra Joye Lari | Massage Therapist | 8202 Ne Highway 104, Suite 105, Kingston, WA 98346 | 2020-03-12 |
1235641705 | Reba Lee Harris | Counselor | 7550 Little Boston Road N.e, Kingston, WA 98346 | 2017-10-24 |
1134592421 | Honeycomb Medical Services, A Med Corp | Physician Assistant | 700 Alamo Pintado Road, Solvang, CA 98346 | 2015-11-09 |
1588000764 | Donald G Hill | Contractor | 26325 Ne Illinois Ave, B 105, Kingston, WA 98346 | 2013-05-15 |
1104161900 | Marcus Dean Atkinson | Massage Therapist | 8202 Ne Hwy 104, Ste 105, Kingston, WA 98346 | 2012-12-05 |
1245580687 | Samantha Christine Kottke | Massage Therapist | 25960 Ohio Ave Suite 206, Kingston, WA 98346 | 2012-09-13 |
1265713390 | Karen Dale Friend | Pharmacist | 8196 State Highway 104, Kingston, WA 98346 | 2011-09-02 |
1750526323 | Megan Elizabeth Pratt | Mechanotherapist | 25925 Washington Blvd., Kingston, WA 98346 | 2008-12-10 |
1073787412 | Cindy Pamela Haines | Massage Therapist | 25925 Washington Boulevard Ne, Kingston, WA 98346 | 2008-04-16 |
1417163031 | Dian Aletha Poyssick | Pharmacist | 8196 State Route 104, Kingston, WA 98346 | 2007-05-14 |
Find all providers in zip 98346 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992931893 | Wilkes Barre Behavioral Hospital Company LLC | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2009-06-05 |
1043435563 | Port Gamble S'klallam Orca Pride | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2007-04-17 |
1346464831 | Lisa Kohli | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-04-13 |
1841414349 | Mallory Ward | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-04-13 |
1750506143 | Nadia M Zukosky | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-04-13 |
1134344542 | Ethellean Mcneil | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-04-13 |
1275654956 | Luzerne Wyoming Co Mhc#1 | Clinic/Center | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2007-04-02 |
1578622973 | Port Gamble S'klallam Chemical Dependency Program | Clinic/Center | 32014 Little Boston Rd Ne, Kingston, WA 98346-9734 | 2006-12-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
1386278372 | Social Treatment Opportunity Programs II, Inc | Clinic/Center | 600 S 1st Ave, Othello, WA 99344-1703 | 2020-02-27 |
1326672692 | Excelsior Integrated Care Center LLC | Clinic/Center | 3910 W. Indian Trail Rd, Spokane, WA 99208-4739 | 2020-02-26 |
1659919561 | Baart Behavioral Health Services, Inc. | Clinic/Center | 716 S Chase St, Port Angeles, WA 98362-6122 | 2019-12-11 |
1346888260 | Baart Behavioral Health Services, Inc. | Clinic/Center | 1520 Ne Riddell Rd Ste 110, Bremerton, WA 98310-3005 | 2019-12-11 |
1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
1780174441 | American Behavioral Health Systems, Inc. | Clinic/Center | 715 E Sprague Ave Ste 107, Spokane, WA 99202-2142 | 2018-05-17 |
1598255267 | American Behavioral Healt Systems, Inc. | Clinic/Center | 7208 267th St Nw Ste A-100, Stanwood, WA 98292-6289 | 2018-05-17 |
1437648136 | American Behavioral Health Systems, Inc. | Clinic/Center | 8625 Evergreen Way Ste 100, Everett, WA 98208-2620 | 2018-05-08 |
1487143350 | Steve Parker | Clinic/Center | 1206 State Ave Ste H, Marysville, WA 98270-3645 | 2018-05-07 |
Find all providers with the same taxonomy |
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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.