LARISSA GOURDET (NPI# 1497205173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497205173 |
| Entity Type | Individual |
| Full Name | LARISSA GOURDET |
| Credential | A.N.P |
| Practice Address |
997 Glen Cove Ave Glen Head NY 11545-1593 |
| Practice Telephone | 5166749144 |
| Mailing Telephone | 5166749144 |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F307969 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
997 GLEN COVE AVE |
| City | GLEN HEAD |
| State | NY |
| Zip Code | 11545-1593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699773010 | Michael I Gurevich | Psychiatry & Neurology | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2005-07-10 |
| 1598315087 | Sherry Xie | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2019-09-17 |
| 1487999017 | Nancy H Larson | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2012-12-08 |
| 1538442256 | Tia Trivisonno | Acupuncturist | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2011-09-20 |
| 1790928026 | Shreyas T Ravishankar | Internal Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2009-04-16 |
| 1619141645 | Ghazanfar W. Haidery Md PC | Family Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2008-04-22 |
| 1861683963 | Suhu Natural Health | Clinic/Center | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2007-08-05 |
| 1588726426 | T.ravishankar Md PC | Internal Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2006-12-15 |
| 1972674067 | Nina Gurevich | Psychiatry & Neurology | 997 Glen Cove Ave, Glen Head, NY 11545 | 2006-11-13 |
| 1801974159 | Ghazanfar W Haidery | Family Medicine | 997 Glen Cove Ave, Glen Head, NY 11545 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896350 | Ian Persits | Student in an Organized Health Care Education/Training Program | Hannah and Charles Serota Academic Center, Glen Head, NY 11545 | 2020-03-13 |
| 1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
| 1164944559 | Kevin Wong | Specialist | 14 Rini Road, Glen Head, NY 11545 | 2017-07-07 |
| 1992237994 | Humaira Ali | Student in an Organized Health Care Education/Training Program | 214 Brookville Road, Glen Head, NY 11545 | 2017-03-29 |
| 1659727006 | Ana Wegmann | Specialist | 17 Chapel Gate Lane, Glen Head, NY 11545 | 2016-05-04 |
| 1427452226 | Jane Zwilling | Psychologist | 11 Wenwood Drive, Brookville, NY 11545 | 2014-10-22 |
| 1619387354 | Gillian Meketansky | Speech-Language Pathologist | 101 Northern Blvd, Glen Hed, NY 11545 | 2014-05-03 |
| 1174861819 | Monique A. Vaccaro | Speech-Language Pathologist | 36 Cherry Street, Glen Head, NY 11545 | 2013-01-30 |
| 1467704676 | Lisette Perez | Licensed Practical Nurse | 189 Wheatley Rd., Brookville, NY 11545 | 2012-10-11 |
| 1952666323 | Catherine Forsander | Specialist | 14 Hillside Avenue, Glen Head, NY 11545 | 2012-07-11 |
| Find all providers in zip 11545 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063660389 | Jennifer Tempesta | Nurse Practitioner | 18 Glen Ln, Glen Head, NY 11545-1120 | 2008-08-28 |
| 1831246768 | Cheryl Moeller | Nurse Practitioner | 144 Glen Head Rd, Glen Head, NY 11545-1907 | 2007-01-04 |
| 1598315087 | Sherry Xie | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2019-09-17 |
| 1487999017 | Nancy H Larson | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2012-12-08 |
| 1558527275 | Karen Stellato | Nurse Practitioner | 333 Glen Head Rd, Glen Head, NY 11545-1947 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427871 | Tammie Kae Copp | Nurse Practitioner | 8266 Casson Rd, Lindley, NY 14858-9697 | 2020-11-08 |
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1972104958 | Jonathan Dillera Nietes | Nurse Practitioner | 4411 Macnish St Apt 1g, Elmhurst, NY 11373-3609 | 2020-11-05 |
| 1407457088 | Sanjana Kumari | Nurse Practitioner | 62 Albertson Pl, Mineola, NY 11501-4601 | 2020-11-02 |
| 1780284927 | Hannah Catan | Nurse Practitioner | 473 W 158th St Apt 10, New York, NY 10032-5361 | 2020-10-27 |
| 1700486248 | Amandeep Kaur | Nurse Practitioner | 7638 270th St, New Hyde Park, NY 11040-1418 | 2020-10-26 |
| 1861091324 | Stacey M Jantsch | Nurse Practitioner | 8237 Cicero Mills Rd, Cicero, NY 13039-8344 | 2020-10-25 |
| 1871192468 | Adult Health Np House Calls, PC | Nurse Practitioner | 7954 Transit Rd # 134, Williamsville, NY 14221-4117 | 2020-10-23 |
| 1104425891 | Tze-hsuan Chao | Nurse Practitioner | 3916 Prince St Ste 257, Flushing, NY 11354-5367 | 2020-10-22 |
| 1992304968 | Nicholas Robinson | Nurse Practitioner | 295 Essjay, Williamsville, NY 14221 | 2020-10-21 |
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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.