JACQUELINE ANN GORDON (NPI# 1528551330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528551330 |
| Entity Type | Individual |
| Full Name | JACQUELINE ANN GORDON |
| Practice Address |
7301 Poe Ave Dayton OH 45414-2559 |
| Practice Telephone | 9372804631 |
| Mailing Telephone | 9372804631 |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
161448 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 161448 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770949307 | Jacqueline Gordon | Counselor | 1402 Tevin Way, Madera, CA 93637-6508 | 2016-01-12 |
| 1295954972 | Jacqueline Carol Gordon | Marriage & Family Therapist | 43537 Ridge Park Dr, Temecula, CA 92590-3615 | 2007-04-24 |
| 1114923026 | Jacqueline Gordon | Psychologist | 1423 N Jefferson Ave Ste A-100, Springfield, MO 65802-1917 | 2005-06-24 |
| 1457706285 | Jacqueline Gordon | Counselor | 9235 Lake Forest Blvd, Suite A, New Orleans, LA 70127-3043 | 2016-04-29 |
| 1104241488 | Jacqueline Gordon | Physical Therapy Assistant | 6400 N Santa Fe Ave Ste B, Oklahoma City, OK 73116-9126 | 2014-02-24 |
| 1760429401 | Jacqueline Gordon | Pharmacist | 17903 Linden Blvd, Jamaica, NY 11425-0001 | 2006-06-01 |
| Street Address |
7301 POE AVE |
| City | DAYTON |
| State | OH |
| Zip Code | 45414-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871957910 | Ashley Marie Wright | Registered Nurse | 7301 Poe Ave, Dayton, OH 45414-2559 | 2016-04-05 |
| 1861038192 | Teresa Ann Matot | Licensed Practical Nurse | 7301 Poe Ave, Dayton, OH 45414-2559 | 2019-11-21 |
| 1710495031 | Sharee Reese | Counselor | 7301 Poe Ave, Dayton, OH 45414-2559 | 2018-01-22 |
| 1265940589 | Michal Naomi Huggins | Registered Nurse | 7301 Poe Ave, Dayton, OH 45414-2559 | 2018-01-22 |
| 1487160123 | Pinnacle Treatment Centers Oh-v, LLC | Clinic/Center | 7301 Poe Ave, Dayton, OH 45414-2559 | 2017-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
| 1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
| 1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
| 1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
| 1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
| 1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
| 1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
| 1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
| Find all providers in zip 45414 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| 1578170056 | Taylor Katherine Bevins | Counselor | 856 Hyde Park Dr, Dayton, OH 45429-5840 | 2020-09-28 |
| 1528689676 | Yvonne Marie Randel | Counselor | 519 County Road 4011, Dayton, TX 77535-7386 | 2020-04-29 |
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1942833389 | Colleen Stevens | Counselor | 955 Sweeney Drive, Dayton, OH 45458 | 2020-02-13 |
| 1477190312 | Tewanna Hawkins | Counselor | 4352 Catalina Ave, Dayton, OH 45416-1302 | 2019-12-10 |
| 1588206718 | Iris Marie Blanchard | Counselor | 329 Imogene Rd, Dayton, OH 45405-5208 | 2019-10-09 |
| 1891345559 | Larry S Baxter IIi | Counselor | 612 Gramont Ave, Dayton, OH 45402-5439 | 2019-09-16 |
| 1992354286 | Eden E Mcdonald | Counselor | 1592 Joselin Rd, Dayton, OH 45432-3647 | 2019-09-09 |
| 1730746942 | Kimberly Billingsley | Counselor | 212 N Orchard Ave, Dayton, OH 45417-2453 | 2019-05-22 |
| Find all providers in DAYTON | ||||
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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.